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Individual

MAJID SASANPOUR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
181 FRANKLIN AVE, NUTLEY, NJ 07110-3820
(973) 667-8117
(973) 667-6642
Mailing address
PO BOX 110147, NUTLEY, NJ 07110-0903
(973) 667-8117
(973) 667-6642

Taxonomy

Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
MA07282700
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
9131400
NJ
01
D08338100
CDS
NJ
Enumeration date
09/08/2006
Last updated
03/07/2023
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