Individual
LUTHFA ALI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
350 ENGLE ST, ENGLEWOOD, NJ 07631-1808
(973) 449-9173
Mailing address
81 MAPLE ST, PATERSON, NJ 07522-1411
(973) 449-9173
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
26NR14892400
NJ
367500000X
Certified Registered Nurse Anesthetist
Primary
26NJ00982000
NJ
Other
Enumeration date
02/23/2019
Last updated
04/23/2021
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