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NPI Code Detail

MEDICARE: DR. MAZHERUNNISA RAZIUDDIN

MEDICARE:  DR. MAZHERUNNISA  RAZIUDDIN
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
1174400000XSpecialist25MA04208600NJ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1E39075OTHERNJREFERRING PROV ID

General Provider Information

NPI Number : 1992702534
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MAZHERUNNISA RAZIUDDIN
Provider Business Mailing Address
First Line : 550 NEWARK AVE
Second Line : FL 5
City : JERSEY CITY
State : NJ
Zip : 07306-1326
Country : US
Telephone Number : 201-795-0205
Fax Number : 201-795-0737
Provider Business Practice Location Address
First Line : 550 NEWARK AVE
Second Line : FL 5
City : JERSEY CITY
State : NJ
Zip : 07306-1326
Country : US
Telephone Number : 201-795-0205
Fax Number : 201-795-0737
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/28/2005
Last Update Date : 07/09/2007

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Directions to “ DR. MAZHERUNNISA RAZIUDDIN ” Practice Location

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