Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080A0000X | Adolescent Medicine | 25MA06776500 | NJ |
NPI | 1093763856 |
---|---|
Provider Name | Wafa Said Abukhraybeh |
First Address | Wayne, NJ 07470-7045 |
Second Address | Wayne, NJ 07470-7045 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/05/2006 |
Last Update Date | 12/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
G96632 | (02) |