DR. Kennedy Palwasha Fazli Daftani, M.D, MHSA
NPI #1043531726 in Verona, New Jersey
Provider Information
- NPI Number
- 1043531726
- Entity Type
- Individual
- Name
- DR. Kennedy Palwasha Fazli Daftani, M.D, MHSA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Family Medicine
- Credential
- M.D, MHSA
- Enumeration Date
- Jun 17, 2010
- Last Updated
- Apr 17, 2025
Practice Location
- Address
- 271 GROVE AVE STE A
- City
- Verona
- State
- New Jersey
- ZIP Code
- 07044-1731
- Phone
- (973) 239-2600
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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