Individual
DR. RAFATH KHATOON HUMERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
535 GETTY AVE, SUITE-3(PARK AVE MEDICAL CENTER), CLIFTON, NJ 07011-2105
(973) 782-4905
(973) 782-4893
Mailing address
1367 RATZER RD, WAYNE, NJ 07470-2429
(973) 333-3875
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
256036
NY
207R00000X
Internal Medicine Physician
Primary
25MA08760600
NJ
Other
Enumeration date
12/04/2009
Last updated
10/02/2013
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