Individual
DR. MEHRDAD MOTAMED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD.
Contact information
Practice address
701 LONGVIEW ROAD, SOUTH ORANGE, NJ 07079
(973) 761-0443
(401) 728-3920
Mailing address
701 LONGVIEW ROAD, SOUTH ORANGE, NJ 07079
(973) 761-0443
(401) 728-3920
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
25MA091265000
NJ
207X00000X
Orthopaedic Surgery Physician
Primary
4442
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1780672709
ORGANIZATION NPI#
—
Enumeration date
05/25/2006
Last updated
08/30/2012
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