Individual
MR. HASSAN AYYASH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
150 BERGEN ST RM M219, NEWARK, NJ 07103-2496
(973) 972-3342
Mailing address
2 BOWFELL CT, WAYNE, NJ 07470-2144
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
26NN07394700
NJ
Other
Enumeration date
05/04/2007
Last updated
07/08/2007
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