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Organization

FRED REZVANI GYN LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
FRED REZVANI (OWNER)
(201) 444-1600
Entity
Organization

Contact information

Practice address
119 PROSPECT ST, 1ST FLOOR SUITE 1, RIDGEWOOD, NJ 07450-4451
(201) 444-1600
Mailing address
119 PROSPECT ST, 1ST FLOOR SUITE 1, RIDGEWOOD, NJ 07450-4451
(201) 444-1600

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary

Other

Enumeration date
02/07/2025
Last updated
05/06/2025
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