Individual
MAHRUKH QAYYUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
185 S ORANGE AVE # MSBC594, NEWARK, NJ 07103
(732) 445-4636
Mailing address
1064 SOUTH ELMORA AVENUE, ELIZABETH, NJ 07202
(908) 494-8382
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/26/2023
Last updated
06/26/2023
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