Individual
KAZEM BEHNAM
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
317 FRANKLIN AVE, RIDGEWOOD, NJ 07450-3316
(201) 447-1620
(201) 447-4977
Mailing address
309 IROQUOIS LN, FRANKLIN LAKES, NJ 07417-1047
(201) 447-1620
(201) 447-4977
Taxonomy
Speciality
Code
Description
License number
State
207VX0201X
Gynecologic Oncology Physician
Primary
NJMA28296
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3190803
—
NJ
Enumeration date
04/26/2006
Last updated
07/08/2007
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