Individual
DR. FOUJAN NOURI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
4900 BERGENLINE AVE, UNION CITY, NJ 07087-1611
(201) 921-3033
Mailing address
4900 BERGENLINE AVE, UNION CITY, NJ 07087-1611
(201) 921-3033
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
047817
NY
1223G0001X
General Practice Dentistry
Primary
22DI02099500
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01913386
—
NY
Enumeration date
02/01/2006
Last updated
07/01/2013
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