Individual
MARINA EZROKHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
703 MAIN ST, PATERSON, NJ 07503-2621
(973) 754-2323
(973) 977-9455
Mailing address
3998 FAIR RIDGE DR, STE 300, FAIRFAX, VA 22033-2907
(703) 295-9360
(703) 766-9725
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
25MA07867300
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0105171
—
NJ
Enumeration date
06/14/2006
Last updated
04/13/2015
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