Organization
M YAZIJI MD
Active
Other names
M YAZIJI MD
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MUATAZ YAZIJI MD (SOLE OWNER)
(551) 502-9126
Entity
Organization
Contact information
Practice address
18 STEVENSON DR, MARLBORO, NJ 07746-2722
(551) 502-9126
Mailing address
18 STEVENSON DR, MARLBORO, NJ 07746-2722
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25MA10185000
STATE LICENSE
NJ
Enumeration date
12/30/2024
Last updated
12/30/2024
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