Individual
FAISAL HUSSNAIN MIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3458 NEELY RD, JOINT BASE MDL, NJ 08641-5312
(866) 377-2778
Mailing address
5951 NEWPORT ST, FORT DIX, NJ 08640-5333
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
—
—
208D00000X
General Practice Physician
Primary
0102207793
VA
Other
Enumeration date
03/15/2021
Last updated
10/09/2025
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