Abas Rezvani M.D., PA
Organization Active NPI Specialist · Wayne, NJ
NPI 1407095953 · NPPES record last updated Feb 6, 2009
Key facts
- NPI
- 1407095953
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Specialist 174400000X
- License
- 25MA02940900 (NJ)
- Legal business name
- ABAS REZVANI M.D., PA
- Practice address
- 220 Hamburg Tpke
Suite Number 10
Wayne, NJ 07470-2110 - Phone
- (973) 790-1100
- Fax
- (973) 790-3138
- NPI assigned
- Feb 6, 2009
- Organization subpart
- No
Authorized official
- Name
- Dr. Abas Rezvani, M.D.
- Title
- President
- Phone
- (973) 790-1100
National Provider Directory
Locations
220 Hamburg Tpke
Ste 10
Wayne, NJ 07470
Phone (973) 790-1100
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist |
174400000X | 25MA02940900 | NJ | Yes |
Addresses
Primary practice location
220 Hamburg Tpke
Suite Number 10
Wayne, NJ 07470-2110
Mailing address
220 Hamburg TPK
Suite Number 10
Wayne, NJ 07417
Phone (973) 790-1100
Other providers in Wayne, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 6, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.