Individual
SHAHANA QUADIR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
30 PROSPECT AVE, HACKENSACK, NJ 07601-1915
(551) 996-1548
Mailing address
209 GRANT AVE, TOTOWA, NJ 07512-2577
(678) 707-2897
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
26NJ00913800
NJ
Other
Enumeration date
04/03/2019
Last updated
08/14/2019
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