Healthcare Provider Details

I. General information

NPI: 1174132849
Provider Name (Legal Business Name): NATALE WASEF
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/28/2020
Last Update Date: 07/28/2020
Certification Date: 07/28/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

601 HAMILTON AVE
TRENTON NJ
08629-1915
US

IV. Provider business mailing address

312 NOTTINGHILL LN
HAMILTON NJ
08619-4005
US

V. Phone/Fax

Practice location:
  • Phone: 609-599-5000
  • Fax:
Mailing address:
  • Phone: 201-647-6880
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: