Organization
AYESHA M. TAJ DO PC
Active
Other names
Ayesha M. Taj DO PC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AYESHA M TAJ DO (OWNER)
(734) 255-7021
Entity
Organization
Contact information
Practice address
25412 GODDARD RD, TAYLOR, MI 48180-6200
(313) 292-4110
Mailing address
1749 IMAN RD, CANTON, MI 48188-2229
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
05/03/2019
Last updated
05/03/2019
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