Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VX0000X | Obstetrician | NJ |
NPI | 1023141074 |
---|---|
Provider Name | Armine Vafai |
First Address | Perth Amboy, NJ 08861-3655 |
Second Address | Perth Amboy, NJ 08861-3655 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/03/2007 |
Last Update Date | 08/07/2007 |