Individual
DR. SIDRA S QAZI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
147 MILLER RD, KINNELON, NJ 07405-3005
(917) 697-8294
Mailing address
147 MILLER RD, KINNELON, NJ 07405-3005
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
390200000X
NJ
Other
Enumeration date
07/01/2010
Last updated
07/01/2010
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