Individual
MR. REZA FARHANGFAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
401 HAMBURG TPKE, SUITE 107, WAYNE, NJ 07470-2154
(973) 595-7456
(973) 904-9119
Mailing address
PO BOX 2336, WAYNE, NJ 07470
(973) 595-7456
(973) 904-9119
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
MA55580
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5148103
—
NJ
Enumeration date
10/26/2006
Last updated
07/29/2010
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