Individual
TAHERA ALI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1055 HAMBURG TPKE STE 200, WAYNE, NJ 07470-3235
(973) 904-1177
(973) 904-1166
Mailing address
PO BOX 416457, BOSTON, MA 02241-6457
(844) 362-1735
(973) 290-7495
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25MB09099400
NJ
Other
Enumeration date
05/16/2008
Last updated
09/26/2022
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