Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0117X | Orthopaedic Spine Surgeon | 25MB09177700 | NJ |
NPI | 1396940037 |
---|---|
Provider Name | Behnam Salari |
First Address | Hackettstown, NJ 07840-4174 |
Second Address | Hackettstown, NJ 07840-4174 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/06/2007 |
Last Update Date | 28/01/2014 |