Individual provider · NPI-1

Soheil Afsharpour

Student in an Organized Health Care Education/Training Program · New Brunswick, NJ

NPI number1891461455
StatusActive
Last updated in NPPESAug 23, 2021

Details

NPI
1891461455
Entity type
Individual (NPI-1)
Name
Soheil Afsharpour
Sex
Male
Sole proprietor
Yes
Enumeration date
Aug 23, 2021
Certification date
Aug 23, 2021
Last updated
Aug 23, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
390200000X Student in an Organized Health Care Education/Training Program––Yes

Practice location

125 Paterson St # 308
New Brunswick, NJ 08901-1962

Phone 732-519-2069

Mailing address

125 Paterson St # 308
New Brunswick, NJ 08901-1962

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