Individual
MR. EHSAN HAJI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
130 SPEEDWELL AVE, MORRIS PLAINS, NJ 07950-2315
(862) 242-8053
Mailing address
60 NORWAY LN EXT, SOUTH PLAINFIELD, NJ 07080-2809
(908) 821-8503
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00705400
NJ
Other
Enumeration date
05/24/2022
Last updated
03/02/2023
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