Individual
MS. JAHANARA ROUF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
362 MONROE ST, PASSAIC, NJ 07055-4114
(347) 339-0085
Mailing address
2420 DITMARS BLVD, ASTORIA, NY 11105-3348
(347) 339-0085
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PX12-00748
NJ
Other
Enumeration date
05/11/2012
Last updated
05/11/2012
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