Organization
AWAN RAZIA MD HEALTHCARE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAZIA AWAN MD (OWNER)
(973) 926-5853
Entity
Organization
Contact information
Practice address
1561 LYONS AVE, NEWARK, NJ 07112-2016
(973) 926-5853
(973) 926-6599
Mailing address
1561 LYONS AVE, NEWARK, NJ 07112-2016
(973) 926-5853
(973) 926-6599
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5018609
—
NJ
Enumeration date
12/17/2020
Last updated
12/17/2020
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