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Koosha Farnoosh
NPI 1801270996 · on the registry since 2015
Practice
- Address
- 1286 State Route 3 S Ste 7
Crofton, MD 21114 - Phone
- (410) 721-7629
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 122300000X
122300000X
- Licence states on file
- MD
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2015-07-17
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Maryland