Individual
DR. IRADJ - ANSARI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
16450 GULF BLVD, APT 263, NORTH REDINGTON BEACH, FL 33708-1575
(727) 398-6661
Mailing address
16450 GULF BLVD, APT 263, NORTH REDINGTON BEACH, FL 33708-1575
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
128460
NY
Other
Enumeration date
09/29/2006
Last updated
07/08/2007
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