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Individual

DR. KAVEH HAJIFATHALIAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
150 BERGEN ST STE H-446, NEWARK, NJ 07103-2496
(973) 972-9814
Mailing address
242 W 53RD ST APT 46A, NEW YORK, NY 10019-7894
(646) 962-4000

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
25MA11205700
NJ
207RG0100X
Gastroenterology Physician
290254
NY
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
04/17/2014
Last updated
05/12/2026
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