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Individual

DR. KIANOUSH SHEYKHOLESLAMI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD. PHD.FACS

Contact information

Practice address
254 EASTON AVE, NEW BRUNSWICK, NJ 08901-1766
(732) 745-8600
Mailing address
254 EASTON AVE, NEW BRUNSWICK, NJ 08901-1766
(732) 745-8600

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
25MA09513900
NJ
207YS0012X
Sleep Medicine (Otolaryngology) Physician
25MA09513900
NJ
207YS0123X
Facial Plastic Surgery Physician
25MA09513900
NJ

Other

Enumeration date
08/01/2007
Last updated
07/30/2020
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