Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 1223S0112X | Oral and Maxillofacial Surgeon | 058649 | NY |
N | 1223S0112X | Oral and Maxillofacial Surgeon | 14666 | MD |
Y | 204E00000X | Oral & Maxillofacial Surgeon | 291460 | NY |
NPI | 1194040782 |
---|---|
Provider Name | Dr. Mohammad Tofigh |
First Address | New York, NY 10029-6500 |
Second Address | New York, NY 10029-6500 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 07/04/2010 |
Last Update Date | 17/02/2018 |