Provider Demographics
NPI:1487853875
Name:HAFEZ, NAGWA ISMAIL (MD)
Entity Type:Individual
Prefix:DR
First Name:NAGWA
Middle Name:ISMAIL
Last Name:HAFEZ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27 ALMADERA DR
Mailing Address - Street 2:
Mailing Address - City:WAYNE
Mailing Address - State:NJ
Mailing Address - Zip Code:07470-2471
Mailing Address - Country:US
Mailing Address - Phone:973-790-3433
Mailing Address - Fax:
Practice Address - Street 1:27 ALMADERA DR
Practice Address - Street 2:
Practice Address - City:WAYNE
Practice Address - State:NJ
Practice Address - Zip Code:07470-2471
Practice Address - Country:US
Practice Address - Phone:973-790-3433
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-16
Last Update Date:2007-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA082322207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine