Roya Rahimi, PA-C, CNMT
Physician Assistant, Surgical in Franklin Lakes, NJ. Individual provider (NPI-1).
NPI number1760880470
StatusActive
Last updated in NPPESFeb 24, 2022
Details
- NPI
- 1760880470
- Entity type
- Individual (NPI-1)
- Name
- Roya Rahimi
- Credential
- PA-C, CNMT
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 11, 2014
- Certification date
- Feb 24, 2022
- Last updated
- Feb 24, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AS0400X | Physician Assistant, Surgical | 25MP00352500 | NJ | Yes |
Practice location
784 Franklin AveSuite 250
Franklin Lakes, NJ 07417-1306
Phone 201-560-0711 · Fax 201-560-0712
Mailing address
14 Krakow StGarfield, NJ 07026-1407
Phone 631-383-1157
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