Rousta, Sepideh Tara
Rousta, Sepideh Tara is an individual health care provider with primary practice located at 4 Cornwall Ct , East Brunswick NJ 08816-3331. She recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as her primary health care specialty. Rousta, Sepideh Tara can be contacted via phone (732) 613-9191.Contact Information
Primary practice address
4 Cornwall Ct
East Brunswick NJ 08816-3331
Phone: (732) 613-9191
Fax: (732) 613-1139
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 25MA06717300 | New Jersey |
Profile Details
| NPI number | 1275513277 |
|---|---|
| LBN Legal business name | Rousta, Sepideh Tara |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 18th, 2006 |
| Last updated | Apr 20th, 2020 - about 6 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 | 1275513277 | NPPES |
| New Jersey | MEDICAID | 7983409 |
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