Rezvan, Masoud

Rezvan, Masoud is an sole proprietor health care provider with primary practice located at 3131 Princeton Pike Bld 5 Suite 109, Lawrenceville NJ 08648-2201. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Rezvan, Masoud can be contacted via phone (609) 912-1145.

Contact Information

Primary practice address
3131 Princeton Pike Bld 5 Suite 109 Lawrenceville NJ 08648-2201
Phone: (609) 912-1145
Fax: (609) 912-1147
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 155620 New Jersey

Profile Details

NPI number 1770516585
LBN Legal business name Rezvan, Masoud
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 8th, 2006
Last updated Jul 8th, 2007 - about 17 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 1770516585 NPPES
New Jersey MEDICAID 3031802

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