Individual
ABAN NIKOONEZHAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
73 N MAPLE AVE, MARLTON, NJ 08053-1782
(844) 542-2273
Mailing address
73 N MAPLE AVE, MARLTON, NJ 08053-1782
(844) 542-2273
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25MB11909600
NJ
Other
Enumeration date
04/23/2020
Last updated
10/26/2023
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