Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207K00000X | Allergist & Immunologist | 248770 | NY |
Y | 207KA0200X | Allergist | 25MA08950100 | NJ |
N | 207R00000X | Internist | 248770 | NY |
N | 111NI0900X | Internist | 248770 | NY |
NPI | 1457528655 |
---|---|
Provider Name | Dr. Cyrus H. Nozad |
First Address | Rutherford, NJ 07070-2082 |
Second Address | Rutherford, NJ 07070-2082 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 15/05/2008 |
Last Update Date | 22/04/2015 |