Provider Demographics
NPI:1841438447
Name:HAJEE, FERYAL (MD)
Entity type:Individual
Prefix:DR
First Name:FERYAL
Middle Name:
Last Name:HAJEE
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 1:617 79TH ST
Mailing Address - Street 2:
Mailing Address - City:NORTH BERGEN
Mailing Address - State:NJ
Mailing Address - Zip Code:07047-4930
Mailing Address - Country:US
Mailing Address - Phone:201-854-8119
Mailing Address - Fax:201-854-4875
Practice Address - Street 1:34 SYCAMORE AVE STE 1A
Practice Address - Street 2:
Practice Address - City:LITTLE SILVER
Practice Address - State:NJ
Practice Address - Zip Code:07739-1228
Practice Address - Country:US
Practice Address - Phone:732-383-5554
Practice Address - Fax:732-383-5495
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-04
Last Update Date:2020-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA08471500207KA0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207KA0200XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyAllergy
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJMA08471500OtherMEDICAL LICENSE