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:
Health care specialties
| Specialty | Code | License # | 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 19 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 | 1770516585 | NPPES |
| New Jersey | MEDICAID | 3031802 |
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