Individual
HAFSA TARIQ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1925 PACIFIC AVE, ATLANTIC CITY, NJ 08401-6713
(609) 441-8990
Mailing address
3705 LEHIGH CT, MAYS LANDING, NJ 08330-3251
(832) 771-5228
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
318344
NY
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/03/2016
Last updated
07/17/2023
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