Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223G0001X | General Practice | 22DI01967000 | NJ |
Y | 213EG0000X | General Practice | 22DI01967000 | NJ |
NPI | 1003934308 |
---|---|
Provider Name | Dr. Allen A Ghorashi |
First Address | Ramsey, NJ 07446-2813 |
Second Address | Ramsey, NJ 07446-2813 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/03/2007 |
Last Update Date | 08/07/2007 |