Individual
DR. NANCY JAYNE MOONTASRI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
703 MAIN ST, PATERSON, NJ 07503-2621
(973) 754-3450
Mailing address
4860 Y STREET, SUITE 3800, SACRAMENTO, CA 95817
(916) 734-5885
(916) 734-7904
Taxonomy
Speciality
Code
Description
License number
State
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
171381
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
NJ
Other
Enumeration date
06/27/2016
Last updated
07/23/2021
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