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Organization

NOUSHIN HEIDARY MD LLC

Active
Other names
Dermatology and Laser Center of Northern New Jersey
Organization subpart
No

Provider details

NPI number
Authorized official
NOUSHIN HEIDARY MD (CEO)
(973) 740-0101
Entity
Organization

Contact information

Practice address
290 S LIVINGSTON AVE, LIVINGSTON, NJ 07039-3931
(973) 740-0101
(973) 740-0103
Mailing address
290 S LIVINGSTON AVE, LIVINGSTON, NJ 07039-3931
(973) 740-0101
(973) 740-0103

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
25MA98581800
NJ

Other

Enumeration date
10/12/2012
Last updated
10/12/2012
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