Organization
NISRIN Q. DAHODWALA MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NISRIN Q. DAHODWALA MD (MEDICAL DIRECTOR)
(609) 567-7882
Entity
Organization
Contact information
Practice address
290 N WHITE HORSE PIKE, HAMMONTON, NJ 08037-1855
(609) 567-7882
Mailing address
290 N WHITE HORSE PIKE, HAMMONTON, NJ 08037-1855
(609) 567-7882
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26NJ00576000
NJ
Other
Enumeration date
09/21/2015
Last updated
09/21/2015
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