Modarressi, Taher
Modarressi, Taher is an individual health care provider with primary practice located at 21 Route 31 N Ste B6 , Pennington NJ 08534-1621. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obesity Medicine, Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism. Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism is his primary health care specialty. Modarressi, Taher can be contacted via phone (609) 951-3944.Contact Information
Primary practice address
21 Route 31 N Ste B6
Pennington NJ 08534-1621
Phone: (609) 951-3944
Fax: (609) 955-3078
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obesity Medicine | 207RB0002X | 25MA10293500 | New Jersey |
| Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism | 207RE0101X | 25MA10293500 | New Jersey |
Profile Details
| NPI number | 1811335433 |
|---|---|
| LBN Legal business name | Modarressi, Taher |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 5th, 2013 |
| Last updated | Aug 7th, 2023 - about 3 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 | 1811335433 | NPPES |
| New Jersey | MEDICAID | 0649881 |
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