Individual
TAHER MODARRESSI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
21 ROUTE 31 N STE B6, PENNINGTON, NJ 08534-1621
(609) 951-3944
(609) 955-3078
Mailing address
21 ROUTE 31 N STE B6, PENNINGTON, NJ 08534-1621
(609) 951-3944
(609) 955-3078
Taxonomy
Speciality
Code
Description
License number
State
207RB0002X
Obesity Medicine (Internal Medicine) Physician
25MA10293500
NJ
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
25MA10293500
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0649881
—
NJ
Enumeration date
06/05/2013
Last updated
08/07/2023
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