Fakharzadeh, Frederick F

Fakharzadeh, Frederick F is an individual health care provider with primary practice located at 22 Madison Ave 3Rd Floor, Paramus NJ 07652-2734. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hand Surgery, which is considered as his primary health care specialty. Fakharzadeh, Frederick F can be contacted via phone (201) 587-7767.

Contact Information

Primary practice address
22 Madison Ave 3Rd Floor Paramus NJ 07652-2734
Phone: (201) 587-7767
Fax: (201) 587-8090
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hand Surgery 207XS0106X 25MA04750600 New Jersey

Profile Details

NPI number 1497790067
LBN Legal business name Fakharzadeh, Frederick F
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 18th, 2006
Last updated Oct 24th, 2011 - about 14 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 1497790067 NPPES
New Jersey MEDICAID 1383701

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