Fred Rezvani
Fred Rezvani is a Specialist in Ridgewood, New Jersey. Licensed in New Jersey. Registered with an NPI since 2006.
- Licensed in
- NJ
- In the registry since
- 2006
Practice location Address checks out
119 Prospect St 1st Fl Ste 1Ridgewood, NJ 07450-4405
Phone: (201) 444-1600
Fax: (201) 444-8774
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Specialties & licences
| Specialist (primary) | Taxonomy 174400000X · Licence 25MA05115800 (NJ) |
|---|
Record details
| NPI number | 1104887694 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | April 1, 2006 |
| Last updated in NPPES | May 6, 2025 |
| Certification date | May 6, 2025 |
| Mailing address | 119 Prospect St, 1st Floor Suite 1, Ridgewood, NJ 07450-4405 |
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