Provider Demographics
NPI:1023809274
Name:ABDELAZIZ, AYMAN
Entity type:Individual
Prefix:
First Name:AYMAN
Middle Name:
Last Name:ABDELAZIZ
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:301 MAPLE AVE APT 207
Mailing Address - Street 2:
Mailing Address - City:NORTH PLAINFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07060-6655
Mailing Address - Country:US
Mailing Address - Phone:908-267-7891
Mailing Address - Fax:
Practice Address - Street 1:301 MAPLE AVE APT 207
Practice Address - Street 2:
Practice Address - City:NORTH PLAINFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07060-6655
Practice Address - Country:US
Practice Address - Phone:908-267-7891
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-16
Last Update Date:2025-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ18KT01525700225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist