Individual
DR. OMID DARDASHTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
297 LAFAYETTE AVE, HAWTHORNE, NJ 07506-1919
(201) 439-2625
Mailing address
1541 LEMOINE AVE, APT. 2E, FORT LEE, NJ 07024-5649
(201) 638-6617
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
25MA08190200
NJ
Other
Enumeration date
03/21/2007
Last updated
07/08/2007
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