Individual provider · NPI-1

Fraz Amjad

Nurse Practitioner, Family · Newark, NJ

NPI number1356001895
StatusActive
Last updated in NPPESFeb 2, 2023

Details

NPI
1356001895
Entity type
Individual (NPI-1)
Name
Fraz Amjad
Sex
Male
Sole proprietor
No
Enumeration date
Dec 24, 2021
Certification date
Apr 20, 2022
Last updated
Feb 2, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LF0000X Nurse Practitioner, Family26NJ01193600NJYes

Practice location

495 N 13th St
Newark, NJ 07107-1317

Phone 973-587-7777

Mailing address

495 N 13th St
Newark, NJ 07107-1317

Phone 973-587-7777

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