Individual
FAHMENA ISLAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 DIAMOND HILL RD FL 3, BERKELEY HEIGHTS, NJ 07922-2104
(908) 277-8872
(908) 464-4930
Mailing address
1 DIAMOND HILL RD, BERKELEY HEIGHTS, NJ 07922-2104
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
26NR19615200
NJ
367500000X
Certified Registered Nurse Anesthetist
Primary
26NJ01039800
NJ
Other
Enumeration date
04/20/2020
Last updated
05/20/2022
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