Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207K00000X | Allergist & Immunologist | 27180 | NJ |
NPI | 1144264508 |
---|---|
Provider Name | Mohamad H Zanjanian |
First Address | Clifton, NJ 07013-2723 |
Second Address | Clifton, NJ 07013-2723 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/06/2006 |
Last Update Date | 04/02/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
C61147 | (02) | |
C61147 | (02) | NJ |