Individual
MRS. SAMIRA RAZZAQ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
451 BROADWAY, BAYONNE, NJ 07002-3623
(201) 823-3769
Mailing address
27 SILVER ST, BAYONNE, NJ 07002-4345
(072) 564-4644
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
26NJ00884800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
26NJ00884800
REGISTERED NURSE PRACTITIONER
NJ
Enumeration date
12/06/2018
Last updated
12/06/2018
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