Organization
BEHDOKHT DANESHVAR, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BEHDOKHT DANESHVAR MD (OWNER)
(609) 485-0300
Entity
Organization
Contact information
Practice address
408 BETHEL RD, SUITE C-2, SOMERS POINT, NJ 08244-2172
(609) 926-6900
(609) 926-6995
Mailing address
1015 NEW RD, 2ND FLOOR, NORTHFIELD, NJ 08225-1600
(609) 926-6900
(609) 926-6900
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA06958500
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8024804
—
NJ
Enumeration date
06/12/2012
Last updated
06/12/2012
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