Individual
DR. CYRUS FAZ LOGHMANEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
79 HUDSON ST, SUITE 700, HOBOKEN, NJ 07030-5638
(201) 449-1000
Mailing address
PO BOX 442, CENTER MORICHES, NY 11934-0442
(201) 449-1000
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
25MA08921100
NJ
208200000X
Plastic Surgery Physician
260309
NY
208200000X
Plastic Surgery Physician
30497
SC
Other
Enumeration date
05/05/2008
Last updated
10/16/2012
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