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Individual

KASHAN RIZVI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
282 E RTE 4, PARAMUS, NJ 07652
(551) 222-0800
Mailing address
1345 RXR PLZ, UNIONDALE, NY 11556-1301
(516) 453-0435
(646) 846-3283

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25MA09544400
NJ
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
01/10/2012
Last updated
10/30/2019
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