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Search › New Jersey › 207W00000X

Mohammad Dastjerdi, MD

NPI 1831329291 · on the registry since 2009 · sole proprietor

Practice

Address
90 Bergen St
Doctors Office Center, Suite 6100
Newark, NJ 07103
Phone
(973) 972-2038
Fax
(973) 972-2068
Organisation at this address
Special Llc
Siddhivinayak Inc
Siddhivinayak Inc
Clinical Practice Pc
Umdnj University Hospital
Inferred from a shared address, not stated in the registry.
Clinicians at this address
257

Registry record

Primary taxonomy
207W00000X
207W00000X
Also registered as
207WX0120X
Licence states on file
NJ
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2020-10-10

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 New Jersey