Individual
PEYMAAN SAM BANANKHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
225 WILLIAMSON ST, ELIZABETH, NJ 07202-3625
(908) 994-5000
Mailing address
225 WILLIAMSON ST, ELIZABETH, NJ 07202-3625
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA11478900
NJ
Other
Enumeration date
03/18/2019
Last updated
07/05/2022
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