Individual
ALI DANESHVAR
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
334 W OAKCREST AVE, NORTHFIELD, NJ 08225-1716
(609) 646-7000
(609) 646-7140
Mailing address
234 CAMBRIDGE AVE, LINWOOD, NJ 08221-2317
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
25MA05615600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4609603
—
NJ
Enumeration date
05/23/2006
Last updated
07/08/2007
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