Fred Rezvani Gyn LLC
NPI #1396550463 in Ridgewood, New Jersey
Provider Information
- NPI Number
- 1396550463
- Entity Type
- Organization
- Organization Name
- Fred Rezvani Gyn LLC
- Primary Specialty
- Obstetrics & Gynecology
- Enumeration Date
- Feb 7, 2025
- Last Updated
- May 6, 2025
Practice Location
- Address
- 119 PROSPECT ST
- Address 2
- 1ST FLOOR SUITE 1
- City
- Ridgewood
- State
- New Jersey
- ZIP Code
- 07450-4451
- Phone
- (201) 444-1600
Authorized Official
- Name
- FRED REZVANI
- Title
- OWNER
- Phone
- (201) 444-1600
Specialties & Taxonomy Codes
| Specialty |
|---|
| Obstetrics & Gynecology |
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