Doctor Name: | DR. AHMAD FALLAH TAFTI |
NPI Number: | 1942213657 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | MA02970100 |
Business Practice Address: | 33 Central Ave Midland Park, NJ - 07432 |
Business Phone Number: | 2016890800 |
Business Fax Number: | 2016890871 |
Mailing Address: | 33 Central Ave, MIDLAND PARK |
State: | NJ |
Postal Code: | 07432 |
Phone Number: | 2016890800 |
Fax Number: | 2016890871 |
NPI Enumeration Date: | 08/14/2006 |
NPI Last Update Date: | 04/01/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | MA02970100 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |