Organization
INFECTIOUS DISEASES NORTH PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAJID SASANPOUR MD (PRESIDENT)
(201) 246-9172
Entity
Organization
Contact information
Practice address
181 FRANKLIN AVE, NUTLEY, NJ 07110-3820
(973) 667-8117
Mailing address
181 FRANKLIN AVE, NUTLEY, NJ 07110-3820
(973) 667-8117
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9131400
—
NJ
Enumeration date
04/25/2012
Last updated
02/25/2014
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