Individual
DR. SHAHID RAHIM AZIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D., M.D.
Contact information
Practice address
110 BERGEN ST, ROOM B854, NEWARK, NJ 07103-2495
(973) 972-4292
(973) 972-7322
Mailing address
3600 ROUTE 66 FL 3, NEPTUNE, NJ 07753-2645
(732) 807-0877
(201) 751-1680
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
DI218860
NJ
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
25MA07730100
NJ
Other
Enumeration date
04/06/2006
Last updated
05/28/2021
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