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Individual

AHMED FAYYAZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
OT

Contact information

Practice address
620 JEFFREY LN, UNION, NJ 07083-8717
(908) 613-2552
Mailing address
620 JEFFREY LN, UNION, NJ 07083-8717
(908) 613-2552

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR00843700
NJ

Other

Enumeration date
04/13/2022
Last updated
04/13/2022
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