Individual
DR. FARHAD REZA CHOWDHURY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
3663 ROUTE 9 N STE 102, OLD BRIDGE, NJ 08857-3518
(732) 679-7575
(732) 707-3850
Mailing address
660 WHITE PLAINS RD FL 4, TARRYTOWN, NY 10591-5139
(914) 984-2546
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
25MB08701400
NJ
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
OS014059
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25MB08701400
LICENSE
NJ
01
—
P00938037
RAILROAD MEDICARE PIN
NJ
Enumeration date
04/23/2009
Last updated
04/01/2019
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