Individual provider · NPI-1

Dr. Mariam Ansar

Internal Medicine · Camden, NJ

NPI number1003598772
StatusActive
Last updated in NPPESJun 25, 2026

Details

NPI
1003598772
Entity type
Individual (NPI-1)
Name
Dr. Mariam Ansar
Sex
Female
Sole proprietor
No
Enumeration date
Aug 2, 2023
Certification date
Jun 25, 2026
Last updated
Jun 25, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal MedicineC1-0029605DEYes

Practice location

1 Cooper Plz
Camden, NJ 08103-1461

Phone 800-826-6737

Mailing address

135 S 19th St Apt 512
Philadelphia, PA 19103-4907

Phone 484-332-9546

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