Individual
DR. SYED MOOSA JAFFARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
814 RIVER AVE, LAKEWOOD, NJ 08701
(732) 367-7707
(732) 367-7860
Mailing address
814 RIVER AVE, LAKEWOOD, NJ 08701
(732) 367-7707
(732) 367-7860
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
25MA02930800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3001601
—
NJ
Enumeration date
08/18/2006
Last updated
09/14/2017
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