Individual
DR. PEJMAN TAGHAVI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1140 ROUTE 72 W, MANAHAWKIN, NJ 08050-2412
(609) 597-6011
Mailing address
1901 W HARRISON ST, RM 2533, CHICAGO, IL 60612-3714
(312) 864-3825
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
25MA11563000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ME150891
FL DOH
FL
Enumeration date
08/07/2015
Last updated
09/19/2023
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