Organization Name: | MOSTAFAVI MD PA |
NPI Number: | 1033238449 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ARMAGHAN A MOSTAFAVI (OWNER) |
Mailing Address: | 1880 N Congress Ave Suite 301 Boynton Beach |
State: | FL US |
Postal Code: | 334268671 |
Phone Number: | 5614245004 |
Fax Number: | 5614242689 |
NPI Enumeration Date: | 03/28/2007 |
NPI Last Update Date: | 10/02/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2086S0129X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Surgery |
Taxonomy Specialization: | Vascular Surgery |
Taxonomy Definition: | A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |