Individual
MISS WAFEEQA AZEEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
131 BERGEN ST SUITE 100, NEWARK, NJ 07103
(862) 206-5230
(973) 577-7610
Mailing address
308 N ARLINGTON AVE, EAST ORANGE, NJ 07017-4503
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00332400
NJ
Other
Enumeration date
01/16/2015
Last updated
08/16/2023
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