Organization
FARHAD RAFIZADEH, M.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FARHAD RAFIZADEH MD (OWNER)
(073) 267-0928
Entity
Organization
Contact information
Practice address
101 MADISON AVE, SUITE 105, MORRISTOWN, NJ 07960-7357
(073) 267-0928
(973) 267-6960
Mailing address
101 MADISON AVE, SUITE 105, MORRISTOWN, NJ 07960-7357
(073) 267-0928
(973) 267-6960
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
25MA03770300
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1770559064
NATIONAL PROVIDER NUMBER
NJ
Enumeration date
01/29/2007
Last updated
08/12/2008
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