MEDICARE: NAHID AFRAZ CM

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	367A00000X	Advanced Practice Midwife	25MM00001100	NJ

General Provider Information

NPI Number	:	1154561207
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NAHID AFRAZ CM

Provider Business Mailing Address
First Line	:	225 WILLIAMSON STREET
Second Line	:
City	:	ELIZABETH
State	:	NJ
Zip	:	07207
Country	:	US
Telephone Number	:	908-994-5197
Fax Number	:

Provider Business Practice Location Address
First Line	:	65 JEFFERSON AVE
Second Line	:
City	:	ELIZABETH
State	:	NJ
Zip	:	07201-2474
Country	:	US
Telephone Number	:	908-994-5500
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/03/2009
Last Update Date	:	03/03/2009

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