Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RN0300X | Nephrologist | 25 MA 0883 8600 | NJ |
NPI | 1033394895 |
---|---|
Provider Name | Dr. Samia Fatima Mian |
First Address | Camden, NJ 08103-1088 |
Second Address | Mannington, NJ 08079 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/12/2007 |
Last Update Date | 15/08/2019 |