Individual provider · Type 1 NPI
Ayesha Fayyaz
Medical Physician Assistant · Berkeley Heights, NJ
NPI number
1124850573
Active
Practice location
1 Diamond Hill Rd
Berkeley Heights, NJ 07922-2104
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant | 363A00000X | None listed |
| Medical Physician Assistant | 363AM0700X | None listed |
| Medical Physician Assistant Primary | 363AM0700X | 25MP00879600 (NJ) |
Medical Physician Assistant: Definition to come...
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About NPI 1124850573
Ayesha Fayyaz's National Provider Identifier is 1124850573, issued on Aug 15, 2024. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Berkeley Heights, NJ. The record was last updated on Oct 14, 2024.