IndividualActive
Aban Nikoonezhad
NPI 1770103368 · Family Medicine Physician · Marlton, NJ
Provider details
- NPI number
- 1770103368
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Sex
- Male
- Sole proprietor
- No
- License
- 25MB11909600 (NJ)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
73 N Maple Ave
Marlton, NJ 08053-1782
Phone: (844) 542-2273
Approximate (ZIP-level) locationGet directions
Mailing address
73 N Maple Ave
Marlton, NJ 08053-1782
Registry dates
- Enumerated
- 2020-04-23
- Last updated
- 2023-10-26
- Certified
- 2023-10-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.