Mansouri, Farshad

Mansouri, Farshad is an sole proprietor health care provider with primary practice located at 741 Teaneck Rd Suite B, Teaneck NJ 07666-4243. He recently has only one registered license in Allopathic & Osteopathic Physicians / Colon & Rectal Surgery, which is considered as his primary health care specialty. Mansouri, Farshad can be contacted via phone (716) 523-7930.

Contact Information

Primary practice address
741 Teaneck Rd Suite B Teaneck NJ 07666-4243
Phone: (716) 523-7930
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Colon & Rectal Surgery 208C00000X 25MA08363900 New Jersey

Profile Details

NPI number 1689830572
LBN Legal business name Mansouri, Farshad
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 31st, 2008
Last updated Nov 1st, 2016 - about 8 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 1689830572 NPPES
New Jersey Other 25MA08363900 LICENSE

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