Individual
DR. MAZHERUNNISA RAZIUDDIN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Contact information
Practice address
550 NEWARK AVE, FL 5, JERSEY CITY, NJ 07306-1326
(201) 795-0205
(201) 795-0737
Mailing address
550 NEWARK AVE, FL 5, JERSEY CITY, NJ 07306-1326
(201) 795-0205
(201) 795-0737
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
25MA04208600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
E39075
REFERRING PROV ID
NJ
Enumeration date
06/28/2005
Last updated
07/09/2007
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