Individual
DR. MONDANA SEPAHI YAZDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D., F.A.A.P.
Contact information
Practice address
219 EVERETT AVE, WYCKOFF, NJ 07481-1904
(201) 891-4777
Mailing address
219 EVERETT AVE, WYCKOFF, NJ 07481-1904
(201) 891-4777
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MA06164400
NJ
Other
Enumeration date
11/02/2006
Last updated
07/08/2007
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