Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2084N0400X | Neurologist | 284685 | NY |
Y | 2086S0102X | Surgical Critical Care | 25MA10552200 | NJ |
N | 2086S0102X | Surgical Critical Care | 284685 | NY |
NPI | 1164734687 |
---|---|
Provider Name | Dr. Emad Nourollah-Zadeh |
First Address | New Brunswick, NJ 08901-1962 |
Second Address | New Brunswick, NJ 08901 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/07/2010 |
Last Update Date | 23/07/2021 |