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Individual

RAZIA S AWAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
156 LYONS AVE, NEWARK, NJ 07112-2016
(973) 926-5853
(973) 926-6599
Mailing address
19 DEBORAH DR, EDISON, NJ 08820-2239
(732) 742-0727
(973) 923-6599

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MA57029
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
5018609
NJ
Enumeration date
12/20/2005
Last updated
09/01/2020
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