Individual
MRS. MAHREEN TAHIR AHMAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
110 REHILL AVE, SOMERVILLE, NJ 08876-2519
(908) 685-2200
Mailing address
5 BOLTON DR, LONG VALLEY, NJ 07853-9715
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00485000
NJ
Other
Enumeration date
09/27/2018
Last updated
09/27/2018
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