| Homayoon Hatefi M.d. Pa | |
|
145 Prospect St Ridgewood NJ 07450-4493 | |
| (201) 445-7776 | |
| (201) 445-4209 |
| Full Name | Homayoon Hatefi M.d. Pa |
|---|---|
| Speciality | Internal Medicine - Gastroenterology |
| Location | 145 Prospect St, Ridgewood, New Jersey |
| Authorized Official Name and Position | Homayoon Hatefi (PRESIDENT) |
| Authorized Official Contact | 2014457776 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Homayoon Hatefi M.d. Pa 145 Prospect St Ridgewood NJ 07450-4493 Ph: (201) 445-7776 | Homayoon Hatefi M.d. Pa 145 Prospect St Ridgewood NJ 07450-4493 Ph: (201) 445-7776 |
| NPI Number | 1346426087 |
|---|---|
| Provider Enumeration Date | 01/11/2008 |
| Last Update Date | 01/11/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346426087 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
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