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1740828169
MARIAM WALLIZADEH
WAYNE, NJ
NPI
1740828169
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NJ 26NJ00978800)
Enumeration Date
2019-12-16
Last Update Date
2024-07-27
Business Address
MARIAM WALLIZADEH
2440 HAMBURG TPKE
WAYNE, NJ 07470-6226
Phone number: 866-389-2727
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Mailing Address
MARIAM WALLIZADEH
2440 HAMBURG TPKE
WAYNE, NJ 07470-6226
Phone number: 866-389-2727
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