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1497332167
AYESHA IMTIAZ
BRICK, NJ
NPI
1497332167
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2021-03-26
Last Update Date
2021-03-26
Business Address
AYESHA IMTIAZ MD
425 JACK MARTIN BLVD
BRICK, NJ 08724-7732
Phone number: 732-840-2200
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Mailing Address
AYESHA IMTIAZ MD
425 JACK MARTIN BLVD
BRICK, NJ 08724-7732
Phone number: 732-840-2200
Copy
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