NPI 1295032068
Modern Woman PA
Practice location
- Address
- 550 Newark Ave, Jersey City, NJ 07306-1326
- Phone
- (862) 239-8299
- Mailing address
- 684 Market St, Paterson, NJ 07513-1231
Authorised official
- Name
- Shazah Khawaja
- Title
- Director
- Phone
- (973) 239-8299
Registered specialties
Obstetrics & Gynecology Physician
Primary
Registry record
- NPI
- 1295032068
- Entity type
- Organization
- NPI issued
- 14 Feb 2011
- Record last updated
- 23 Feb 2011
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.