Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QA0505X | Family Doctor - Adult Medicine | 25MB09998400 | NJ |
NPI | 1104262948 |
---|---|
Provider Name | Sarah Uddin |
First Address | Oakland, NJ 07436-2717 |
Second Address | Oakland, NJ 07436-2717 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 20/05/2013 |
Last Update Date | 23/04/2018 |