Ebrahimzadeh, Azita
Ebrahimzadeh, Azita is an sole proprietor health care provider with primary practice located at 291 Mountain Ave , Springfield NJ 07081-2214. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Ebrahimzadeh, Azita can be contacted via phone (973) 901-2322.Contact Information
Primary practice address
291 Mountain Ave
Springfield NJ 07081-2214
Phone: (973) 901-2322
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | E10630710056822 | New Jersey |
Profile Details
| NPI number | 1447630488 |
|---|---|
| LBN Legal business name | Ebrahimzadeh, Azita |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 4th, 2015 |
| Last updated | Jun 4th, 2015 - about 11 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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