Individual
DR. HALEH PAZWASH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1124 E RIDGEWOOD AVE, SUITE 203, RIDGEWOOD, NJ 07450-3915
(201) 523-4141
(201) 445-3835
Mailing address
1130 MCBRIDE AVE FL 3, WOODLAND PARK, NJ 07424-3806
(973) 812-1400
(973) 812-1404
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
25MA07608700
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CF1672
RAILROAD MEDICARE
NJ
Enumeration date
05/11/2006
Last updated
08/09/2023
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