Individual provider · Type 1 NPI
Nafisa Z. Poonawala, MD
General Practice Physician · Woodbridge, NJ
NPI number
1700812617
Active
Practice location
Rahway Avenue, Woodbridge Developmental Center
Woodbridge, NJ 07095-0189
Mailing address
State Of Nj Dept. Of Treasury, PO Box 15280
Newark, NJ 07192-0001
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Physician Primary | 208D00000X | 25MA04302700 (NJ) |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
Another provider at this address
About NPI 1700812617
Nafisa Z. Poonawala, MD's National Provider Identifier is 1700812617, issued on Jun 23, 2006. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Woodbridge, NJ. The record was last updated on Oct 19, 2007.