Individual
DR. FREDERICK F FAKHARZADEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
22 MADISON AVE, 3RD FLOOR, PARAMUS, NJ 07652-2734
(201) 587-7767
(201) 587-8090
Mailing address
22 MADISON AVE, 3RD FLOOR, PARAMUS, NJ 07652-2734
(201) 587-7767
(201) 587-8090
Taxonomy
Speciality
Code
Description
License number
State
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
25MA04750600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1383701
—
NJ
Enumeration date
06/18/2006
Last updated
10/24/2011
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