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Contact Information

KAVEH HAJIFATHALIAN, M.D.
150 BERGEN ST STE H-446
NEWARK, NJ07103-2496
 Phone: 973-972-9814
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Gastroenterology

207RG0100X 10 Physician/Gastroenterology
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for KAVEH HAJIFATHALIAN · (Male)

NPI # 1639599673
Status Active
Credentials M.D.
Entity Individual
Enumeration date 04/17/2014
Last updated 05/12/2026 - About a month ago
Sole proprietor 1 Yes
Identifiers
  • NJ License # 25MA11205700
  • NY License # 290254
Hospital affiliation(s)
  • UMDNJ UNIVERSITY HOSPITAL - (Acute Care)
    150 BERGEN ST
    NEWARK, NJ 07103
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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