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Individual

ANSA RAZZAQ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
30 PROSPECT AVE, 4 MAIN, HACKENSACK, NJ 07601-1915
(551) 996-2211
(551) 996-5727
Mailing address
331 NEWMAN SPRINGS RD STE 220, RED BANK, NJ 07701-5792
(732) 807-0877
(201) 751-1680

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
310764
NY
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
25MA12771600
NJ
207RP1001X
Pulmonary Disease Physician
25MA12771600
NJ

Other

Enumeration date
04/04/2018
Last updated
09/29/2025
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