Individual
NOOR NISAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1895 OAK TREE RD, EDISON, NJ 08820-2122
(732) 548-1833
(732) 906-3156
Mailing address
1895 OAK TREE RD, EDISON, NJ 08820-2122
(732) 548-1833
(732) 906-3156
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
38274
NJ
Other
Enumeration date
10/05/2006
Last updated
07/08/2007
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