Most Relevant Information
Provider Data
| NPI Number: | 1003598772 |
| Provider Name: | MARIAM ANSAR |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 08/02/2023 |
| Last Updated: | 08/11/2023 |
Provider Practice Location
1 COOPER PLZ
CAMDEN
NJ
081031461
Practice Location Phone/Fax
| Phone: | 8008266737 |
| Fax: |
Provider Mailing Location
135 S 19TH ST APT 512
PHILADELPHIA
PA
191034907
Provider Mailing Phone/Fax
| Phone: | 4843329546 |
| Fax: |