Organization
HOMAYOON HATEFI M.D. PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HOMAYOON HATEFI M.D. (PRESIDENT)
(201) 445-7776
Entity
Organization
Contact information
Practice address
145 PROSPECT ST, RIDGEWOOD, NJ 07450-4493
(201) 445-7776
(201) 445-4209
Mailing address
145 PROSPECT ST, RIDGEWOOD, NJ 07450-4493
(201) 445-7776
(201) 445-4209
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Enumeration date
01/11/2008
Last updated
01/11/2008
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