Individual
DR. PARVIN ALIZADEH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
750 BRUNSWICK AVE, TRENTON, NJ 08638-4143
(609) 394-6000
Mailing address
750 BRUNSWICK AVE, TRENTON, NJ 08638-4143
(609) 394-6000
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
25MA06970700
NJ
302R00000X
Health Maintenance Organization
25MA06970700
NJ
305S00000X
Point of Service
25MA06970700
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1123125
—
NJ
05
—
8312401
—
NJ
Enumeration date
07/20/2006
Last updated
05/17/2021
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