Most Relevant Information
Provider Data
| NPI Number: | 1003661885 |
| Provider Name: | SAFIA ANSARI DO |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/23/2024 |
| Last Updated: | 04/23/2024 |
Provider Practice Location
150 BERGEN ST
NEWARK
NJ
071032496
Practice Location Phone/Fax
| Phone: | 9739724300 |
| Fax: |
Provider Mailing Location
150 BERGEN ST
NEWARK
NJ
071032496
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |