WISSAM AJI

FORT SAM HOUSTON, TX
NPI1902237910
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy208D00000X General Practice
(Licence: NJ  25ma09299400)
Enumeration Date2013-12-02
Last Update Date2020-08-20
Business Address
WISSAM AJI
3551 ROGER BROOKE DR
FORT SAM HOUSTON, TX 78234-4504
Phone number: 856-220-5421
Mailing Address
WISSAM AJI
3551 ROGER BROOKE DR
JBSA FT SAM HOUSTON, TX 78234-4504
Phone number: 856-220-5421