Individual
MR. SAMAN EBRAHIMZADEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
225 MCWHORTER STREET, NEWARK, NJ 07105
(973) 494-0858
(844) 857-2827
Mailing address
414 HACKENSACK AVE APT 1406, HACKENSACK, NJ 07601-6581
(201) 406-5273
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
40QB00389300
NJ
Other
Enumeration date
11/22/2021
Last updated
11/22/2021
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