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Individual

ASSAD MUJTABA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DNP, NP-C

Contact information

Practice address
859 CLIFTON AVE STE H, CLIFTON, NJ 07013-1715
(973) 200-2430
(866) 464-3951
Mailing address
859 CLIFTON AVE STE H, CLIFTON, NJ 07013-1715
(973) 200-2430
(866) 464-3951

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26NJ01103900
NJ
363LF0000X
Family Nurse Practitioner
344045
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
05509522
NY
05
0818569
NJ
Enumeration date
02/07/2019
Last updated
01/21/2025
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