Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RC0000X | Internist - Cardiovascular Disease | 25MA03244200 | NJ |
NPI | 1013095009 |
---|---|
Provider Name | Dr. Mostafa Salimi |
First Address | Wayne, NJ 07470-2156 |
Second Address | Wayne, NJ 07470-2156 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/11/2006 |
Last Update Date | 29/04/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2131404 | (05) | NJ |
D18716 | (02) | NJ |