Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RC0001X | Clinical Cardiac Electrophysiologist | 25MB09660600 | NJ |
NPI | 1033475249 |
---|---|
Provider Name | Dr. Mariam Gamal Wassef |
First Address | East Brunswick, NJ 08816-5601 |
Second Address | Eatontown, NJ 07724 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/04/2012 |
Last Update Date | 02/11/2020 |