Individual
MARYAM JAFARI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
176 BLOOMFIELD AVE, NEWARK, NJ 07104-1127
(973) 484-7702
Mailing address
407 HOBART AVE, SHORT HILLS, NJ 07078-1825
(973) 484-7702
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25 MA07476500
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0012246
—
NJ
Enumeration date
11/01/2006
Last updated
06/07/2024
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