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Individual

DR. AMADI REZAI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
602 ROUTE 72 EAST, SUITE 1, MANAHAWKIN, NJ 08050-2899
(609) 978-9870
(609) 978-9873
Mailing address
602 ROUTE 72 EAST, SUITE 1, MANAHAWKIN, NJ 08050-2899
(609) 978-9870
(609) 978-9873

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
MA076703
NJ
207V00000X
Obstetrics & Gynecology Physician
Primary
25MA07670300
NJ

Other

Enumeration date
05/05/2006
Last updated
10/19/2020
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