Fakharzadeh, Frederick F
Fakharzadeh, Frederick F is an individual health care provider with primary practice located at 22 Madison Ave 3Rd Floor, Paramus NJ 07652-2734. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hand Surgery, which is considered as his primary health care specialty. Fakharzadeh, Frederick F can be contacted via phone (201) 587-7767.Contact Information
Primary practice address
22 Madison Ave 3Rd Floor
Paramus NJ 07652-2734
Phone: (201) 587-7767
Fax: (201) 587-8090
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Hand Surgery | 207XS0106X | 25MA04750600 | New Jersey |
Profile Details
NPI number | 1497790067 |
---|---|
LBN Legal business name | Fakharzadeh, Frederick F |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 18th, 2006 |
Last updated | Oct 24th, 2011 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1497790067 | NPPES |
New Jersey | MEDICAID | 1383701 |
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