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Contact Information

WARVEEN OTHMAN, PA-C
311 BAY AVE
STE 202
GLEN RIDGE, NJ07028
 Phone: 848-308-5366
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for WARVEEN OTHMAN · (Female)

NPI # 1265121479
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 05/03/2023
Last updated 06/12/2025 - About 12 months ago
Sole proprietor 1 No
Identifiers
  • NJ License # 25MP00775500
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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