Forouzan-Gandashmin, Iraj

Forouzan-Gandashmin, Iraj is an individual health care provider with primary practice located at One Capital Way Mfm Dept, Pennington NJ 08534. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine. Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine is his primary health care specialty. Forouzan-Gandashmin, Iraj can be contacted via phone (609) 537-7262.

Contact Information

Primary practice address
One Capital Way Mfm Dept Pennington NJ 08534
Phone: (609) 537-7262
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 25MA05962300 New Jersey
Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine 207VM0101X 25MA05962300 New Jersey

Profile Details

NPI number 1376500942
LBN Legal business name Forouzan-Gandashmin, Iraj
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 27th, 2006
Last updated Feb 26th, 2018 - about 6 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1376500942 NPPES
Pennsylvania MEDICAID 001106461
Pennsylvania MEDICAID 7545509

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