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Contact Information

FARSHAD MANSOURI, MD
741 TEANECK RD
SUITE B
TEANECK, NJ07666-4243
 Phone: 716-523-7930
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Colon & Rectal Surgery

208C00000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for FARSHAD MANSOURI · (Male)

NPI # 1689830572
Status Active
Credentials MD
Entity Individual
Enumeration date 07/31/2008
Last updated 11/01/2016 - About 10 years ago
Sole proprietor 1 Yes
Identifiers
  • NJ License # 25MA08363900
  • NJ Other 25MA08363900 LICENSE
Hospital affiliation(s)
  • CHILTON HOSPITAL - (Acute Care)
    97 WEST PARKWAY
    POMPTON PLAINS, NJ 07444
  • HOLY NAME MEDICAL CENTER - (Acute Care)
    718 TEANECK RD
    TEANECK, NJ 07666
  • VALLEY HOSPITAL - (Acute Care)
    223 N VAN DIEN AVENUE
    RIDGEWOOD, NJ 07450
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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