Individual
DR. MOJGAN FAJIRAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
400 E 56TH ST, NEW YORK, NY 10022-4339
(212) 759-1369
(212) 751-5750
Mailing address
400 E 56TH ST, NEW YORK, NY 10022-4339
(212) 759-1369
(212) 751-5750
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
042369
NY
Other
Enumeration date
09/30/2009
Last updated
09/30/2009
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