Individual
AMIRA HAANY GABRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
725 RIVER RD, EDGEWATER, NJ 07020-1171
(201) 994-1155
Mailing address
60 OAK ST APT 202, EAST RUTHERFORD, NJ 07073-1256
(917) 402-1024
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00483400
NJ
Other
Enumeration date
07/27/2018
Last updated
06/24/2021
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