| Doctor Name: | DR. FARHAD REZA CHOWDHURY |
| NPI Number: | 1063656882 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | D.O. |
| License Number: | OS014059 |
| Business Practice Address: | 485 Route 1 S Bldg B, Suite 350 Iselin, NJ - 088303009 |
| Business Phone Number: | 7325493934 |
| Business Fax Number: | 7325497250 |
| Mailing Address: | 560 White Plains Road, Suite 500 - Enta TARRYTOWN |
| State: | NY |
| Postal Code: | 109515112 |
| Phone Number: | 9143335800 |
| Fax Number: | 9143332544 |
| NPI Enumeration Date: | 04/23/2009 |
| NPI Last Update Date: | 02/23/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207YX0905X |
| License Number: | OS014059 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | PA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Otolaryngology |
| Taxonomy Specialization: | Otolaryngology/Facial Plastic Surgery |
| Taxonomy Definition: | An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions. |