Individual
MARYAM MALIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
98 JAMES ST STE 103, EDISON, NJ 08820-3902
(732) 372-5482
Mailing address
46 SELKIRK ST, STATEN ISLAND, NY 10309-1779
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
07/28/2020
Last updated
07/28/2020
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