Provider Demographics
NPI:1326584715
Name:KAWAJA, MYRIAM (MS,CGC)
Entity type:Individual
Prefix:
First Name:MYRIAM
Middle Name:
Last Name:KAWAJA
Suffix:
Gender:
Credentials:MS,CGC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5 MARINE VIEW PLZ
Mailing Address - Street 2:
Mailing Address - City:HOBOKEN
Mailing Address - State:NJ
Mailing Address - Zip Code:07030-5756
Mailing Address - Country:US
Mailing Address - Phone:201-706-4524
Mailing Address - Fax:201-706-7649
Practice Address - Street 1:101 MADISON AVE STE 107
Practice Address - Street 2:
Practice Address - City:MORRISTOWN
Practice Address - State:NJ
Practice Address - Zip Code:07960-7305
Practice Address - Country:US
Practice Address - Phone:973-971-7634
Practice Address - Fax:973-290-7430
Is Sole Proprietor?:No
Enumeration Date:2017-01-10
Last Update Date:2025-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MJ00004900170300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS