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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1689830572 | NPPES |
| New Jersey | Other | 25MA08363900 | LICENSE |
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