Organization

Nisrin Q. Dahodwala Md Pc

Family Nurse Practitioner in Hammonton, NJ(View on Map)

Legal Business Name

Nisrin Q. Dahodwala Md Pc

NPI Number

1992174874

NPI Type

Organization

Enumeration Date

09/21/2015

Specialties

(Taxonomies)

Code

363LF0000X

Primary Taxonomy

Yes

Licenses

State

New Jersey

License Number

26NJ00576000

Contact
Information

Purpose

Mailing
Location

Address

290 N WHITE HORSE PIKE
290 N WHITE HORSE PIKE

City

Hammonton
Hammonton

State

NJ
NJ

Postal Code

08037-1855
08037-1855

Country

US
US

Telephone Number

(609) 567-7882
(609) 567-7882

Authorized Official

Name

Dr. Nisrin Dahodwala

Title or Position

MEDICAL DIRECTOR

Telephone Number

(609) 567-7882

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 09/21/2015

Provider Address