Individual
FARROKH SHAFAIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
33 OVERLOOK ROAD, SUITE 302, SUMMIT, NJ 07901-3563
(908) 522-1777
(908) 522-3051
Mailing address
33 OVERLOOK ROAD, SUITE 302, SUMMIT, NJ 07901-3563
(908) 522-1777
(908) 522-3051
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
1452731
NY
208200000X
Plastic Surgery Physician
Primary
25MA03675000
NJ
Other
Enumeration date
08/04/2006
Last updated
07/08/2007
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