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Individual

DR. MAZHAR SOUFI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
29 E 29TH ST, BAYONNE, NJ 07002-4654
(312) 753-8692
Mailing address
29 E 29TH ST, BAYONNE, NJ 07002-4654
(312) 753-8692

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
25MA11343300
NJ
208D00000X
General Practice Physician
01081217A
IN

Other

Enumeration date
04/30/2014
Last updated
05/23/2024
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