Individual
MARY NAKHLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
650 FROM RD STE 420, PARAMUS, NJ 07652-3551
(201) 639-6620
Mailing address
3600 ROUTE 66 FL 3, NEPTUNE, NJ 07753-2645
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA10181000
NJ
207RA0000X
Adolescent Medicine (Internal Medicine) Physician
289743
NY
Other
Enumeration date
06/11/2014
Last updated
11/06/2023
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