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NPI Code Detail

MEDICARE: FATIMA AHMAD MS

MEDICARE:   FATIMA  AHMAD  MS
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
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1770295974
Entity Type Code : Individual
Provider Name (Legal Business Name) : FATIMA AHMAD MS
Provider Business Mailing Address
First Line : 123 METRO BLVD
Second Line :
City : NUTLEY
State : NJ
Zip : 07110-6101
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 123 METRO BLVD
Second Line :
City : NUTLEY
State : NJ
Zip : 07110-6101
Country : US
Telephone Number : 862-660-5000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/19/2022
Last Update Date : 12/19/2022

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Directions to “ FATIMA AHMAD MS” Practice Location

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