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Provider Information for 1619081056



MRS. ROKHSAREH GHAFFARI DDS

Gender: FEMALE

Individual NPI: 1619081056

Calendar Last Updated: 2007-07-08

Details

Name Value
NPI 1619081056
Enumeration Date 2006-08-19
NPI Type 1 - Individual
Sole Proprietor NO
Status Active
Mailing Address 315 ELMORA AVE STE 104
ELIZABETH, NJ 07208
United States

Phone: 908-965-1212 | Fax: 908-965-2242
View Map External Link
Primary Practice Address 315 ELMORA AVE STE 104
ELIZABETH, NJ 07208
United States

Phone: 908-965-1212 | Fax: 908-965-2242
View Map External Link
Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 1223G0001X - Dentist General Practice NJ 19607