Individual
BEHROZ OFTADEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1 CAPITAL WAY, PENNINGTON, NJ 08534-2520
(609) 303-4049
Mailing address
820 N RANCHO DR, LONG BEACH, CA 90815-4736
(562) 708-5613
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
07/29/2017
Last updated
07/29/2017
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