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1114508108
AYSHA AZAM
SOMERVILLE, NJ
NPI
1114508108
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: NJ 25MB12053000)
Enumeration Date
2021-04-20
Last Update Date
2024-05-02
Business Address
AYSHA AZAM DO
110 REHILL AVE
SOMERVILLE, NJ 08876-2519
Phone number: 908-685-2200
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Mailing Address
AYSHA AZAM DO
379 CAMPUS DR FL 4
SOMERSET, NJ 08873-1161
Phone number: 732-937-8939
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