Individual
DR. MOHAMMAD HOSSEIN DASTJERDI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
90 BERGEN ST, DOCTORS OFFICE CENTER, SUITE 6100, NEWARK, NJ 07103-2425
(973) 972-2038
(973) 972-2068
Mailing address
90 BERGEN ST, DOCTORS OFFICE CENTER, SUITE 6100, NEWARK, NJ 07103-2425
(973) 972-2038
(973) 972-2068
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
25MA09381100
NJ
207WX0120X
Cornea and External Diseases Specialist Physician
25MA09381100
NJ
Other
Enumeration date
07/20/2009
Last updated
10/10/2020
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