Individual
DR. BAKHTAVER IRANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
21 E PARK PL, RUTHERFORD, NJ 07070-2313
(201) 896-9223
(201) 896-0641
Mailing address
21 E PARK PL, RUTHERFORD, NJ 07070-2313
(201) 896-9223
(201) 896-0641
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
25MA02617000
NJ
Other
Enumeration date
11/22/2006
Last updated
07/08/2007
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