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Organization
WOMEN'S PELVIC SURGERY OF NORTH JERSEY, LLC
Active
Organization
WOMEN'S PELVIC SURGERY OF NORTH JERSEY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KHASHAYAR SHAKIBA M.D. (DIRECTOR)
(201) 301-2772
Entity
Organization
Contact information
Practice address
1 KALISA WAY STE 103, PARAMUS, NJ 07652-3508
(201) 301-2772
(201) 882-8422
Mailing address
PO BOX 666, RIDGEWOOD, NJ 07451-0666
(201) 301-2772
(201) 882-8422
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
25MA08288700
NJ
Other
Enumeration date
06/22/2011
Last updated
06/22/2011
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