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Individual

DR. ALISA FAROKHIAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
34 VALLEY RD APT 609, MONTCLAIR, NJ 07042-2871
(630) 915-9053
Mailing address
703 MAIN ST, PATERSON, NJ 07503-2621
(630) 915-9053

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
317981
NY

Other

Enumeration date
05/02/2019
Last updated
07/31/2025
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