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Individual

SHALEEZA RAFIUDDIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
90 WASHINGTON ST STE 308, EAST ORANGE, NJ 07017-1050
(973) 677-3300
Mailing address
417 BEARDSLEY AVE APT 1, BLOOMFIELD, NJ 07003-5910

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
26NJ00789400
NJ

Other

Enumeration date
01/21/2018
Last updated
09/19/2023
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