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Individual

DR. FIZZA AFTAB JAFFERY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.M.D, M.D

Contact information

Practice address
115 UNION MILL RD, MOUNT LAUREL, NJ 08054-6299
(856) 437-5225
Mailing address
115 UNION MILL RD, MOUNT LAUREL, NJ 08054-6299
(856) 437-5225

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
DS038135
PA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
22DI02574000
NJ
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
DS038135
PA
208600000X
Surgery Physician
MT200006
PA

Other

Enumeration date
08/01/2011
Last updated
09/19/2023
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