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Marwa Safora Mir

Student in an Organized Health Care Education/Training Program in Newark, NJ. Individual provider (NPI-1).

NPI number1215627872
StatusActive
Last updated in NPPESMay 8, 2023

Details

NPI
1215627872
Entity type
Individual (NPI-1)
Name
Marwa Safora Mir
Sex
Female
Sole proprietor
No
Enumeration date
May 8, 2023
Certification date
May 8, 2023
Last updated
May 8, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
390200000X Student in an Organized Health Care Education/Training Program––Yes

Practice location

111 Central Ave
Newark, NJ 07102-1909

Phone 973-877-5000

Mailing address

42710 Rolling Rock Sq
Chantilly, VA 20152-3952

Phone 170-331-7795

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