Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223P0700X | Prosthodontist | 22DI01850700 | NJ |
NPI | 1225245400 |
---|---|
Provider Name | Dr. Zahra Afsharzand |
First Address | Cherry Hill, NJ 08034-2902 |
Second Address | Cherry Hill, NJ 08034-2902 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 17/05/2007 |
Last Update Date | 08/07/2007 |