Individual
AHMAD IZZAT AL-AWWA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7600 RIVER RD, NORTH BERGEN, NJ 07047-6217
(201) 710-2716
Mailing address
7600 RIVER RD, NORTH BERGEN, NJ 07047-6217
(201) 710-2716
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
25MA12084100
NJ
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/29/2020
Last updated
02/11/2024
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