Individual
HESHA MALIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1 COOPER PLZ DEPT OF, CAMDEN, NJ 08103-1461
(856) 342-2425
Mailing address
1 FEDERAL ST STE 200, CAMDEN, NJ 08103-1088
(848) 288-6935
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
667537
NY
163W00000X
Registered Nurse
RN95211138
CA
367500000X
Certified Registered Nurse Anesthetist
Primary
26NJ00992000
NJ
367500000X
Certified Registered Nurse Anesthetist
NA95001266
CA
Other
Enumeration date
11/27/2019
Last updated
11/22/2023
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