Individual
DR. FARIBORZ ASHTYANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
170 PROSPECT AVE, SUITE 20, HACKENSACK, NJ 07601-1820
(201) 996-0232
(201) 996-0095
Mailing address
170 PROSPECT AVE, SUITE 20, HACKENSACK, NJ 07601-1820
(201) 996-0232
(201) 996-0095
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
25MA05271800
NJ
207RP1001X
Pulmonary Disease Physician
Primary
25MA05271800
NJ
Other
Enumeration date
03/01/2006
Last updated
01/20/2014
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