Individual
MARWA A MOUSTAFA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
30 AMES AVE, RUTHERFORD, NJ 07070-1763
(201) 438-5100
Mailing address
17 ARLINGTON AVE, CLIFTON, NJ 07011-1201
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22DI02960200
NJ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/27/2022
Last updated
07/04/2023
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