Healthcare Provider Details

I. General information

NPI: 1952378135
Provider Name (Legal Business Name): YASMEEN Z NAZLI M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/07/2006
Last Update Date: 10/31/2024
Certification Date: 10/31/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

650 UNION BLVD STE 16
TOTOWA NJ
07512-2422
US

IV. Provider business mailing address

PO BOX 416457
BOSTON MA
02241-6457
US

V. Phone/Fax

Practice location:
  • Phone: 201-416-4346
  • Fax: 201-337-3517
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number25MA07459000
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: