Organization
NV MEDICAL AESTHETICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FRED YARAZAVI (BILLING MANAGER)
(973) 773-2037
Entity
Organization
Contact information
Practice address
1777 HAMBURG TPKE STE 302, WAYNE, NJ 07470-5243
(973) 773-2039
(973) 773-2038
Mailing address
1777 HAMBURG TPKE STE 302, WAYNE, NJ 07470-5243
(973) 773-2039
(973) 773-2038
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Enumeration date
01/07/2022
Last updated
01/07/2022
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