Individual
IRAJ FOROUZAN-GANDASHMIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
ONE CAPITAL WAY, MFM DEPT, PENNINGTON, NJ 08534
(609) 537-7262
Mailing address
ONE CAPITAL WAY MFM DEPT, PENNINGTON, NJ 08534
(609) 537-7262
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
25MA05962300
NJ
207VM0101X
Maternal & Fetal Medicine Physician
Primary
25MA05962300
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001106461
—
PA
05
—
7545509
—
NJ
Enumeration date
04/27/2006
Last updated
02/26/2018
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