Individual
SINA POURTAHERI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
703 MAIN ST, PATERSON, NJ 07503-2621
(973) 754-2000
Mailing address
1001 SCHOOL ST, HOUMA, LA 70360-4629
(985) 868-1540
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
A136713
CA
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
311786
LA
Other
Enumeration date
09/08/2010
Last updated
05/21/2021
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