Individual
DR. PHILLIP F. BAHRAMIPOUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
579 A CRANBURY ROAD, EAST BRUNSWICK, NJ 08816
(732) 390-0040
(732) 390-1856
Mailing address
579 A CRANBURY ROAD, EAST BRUNSWICK, NJ 08816
(732) 390-0040
(732) 390-1856
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
25MA05885700
NJ
2085N0700X
Neuroradiology Physician
25MA05885700
NJ
2085N0904X
Nuclear Radiology Physician
25MA05885700
NJ
2085R0202X
Diagnostic Radiology Physician
Primary
25MA05885700
NJ
2085R0204X
Vascular & Interventional Radiology Physician
25MA05885700
NJ
2085U0001X
Diagnostic Ultrasound Physician
25MA05885700
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6612202
—
NJ
Enumeration date
07/12/2006
Last updated
07/28/2009
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