Provider Demographics
NPI:1770016743
Name:FELIZ, JAZMIN CAMIL (MD)
Entity Type:Individual
Prefix:DR
First Name:JAZMIN
Middle Name:CAMIL
Last Name:FELIZ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:JAZMIN
Other - Middle Name:CAMIL
Other - Last Name:FELIZ GARCIA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:81 MONROE ST APT 519
Mailing Address - Street 2:
Mailing Address - City:RAHWAY
Mailing Address - State:NJ
Mailing Address - Zip Code:07065-7010
Mailing Address - Country:US
Mailing Address - Phone:347-208-7250
Mailing Address - Fax:
Practice Address - Street 1:1 HAMILTON HEALTH PL
Practice Address - Street 2:
Practice Address - City:HAMILTON
Practice Address - State:NJ
Practice Address - Zip Code:08690-3542
Practice Address - Country:US
Practice Address - Phone:609-586-7900
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-04-06
Last Update Date:2020-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYP04763208D00000X
NJ25MA10902800207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice