NPI 1356595292

Nasrine A. Shadpoor O.D.P.A.

Organisation Exclusive Provider Organization Bedminster, NJ

Practice location

Address: 452-A Route 206, Bedminster, NJ 07921-1528
Phone: (908) 781-7707
Fax: (908) 781-7708
Mailing address: 452-A Route 206 North, Bedminster, NJ 07921-1528

Authorised official

Name: Nasrine A. Shadpoor
Title: President
Phone: (908) 781-7707

Registered specialties

Exclusive Provider Organization Primary

Managed Care Organizations Taxonomy 302F00000X Licence 5334 (NJ)

Other Exclusive Provider Organization providers in New Jersey →

Registry record

NPI: 1356595292
Entity type: Organization
NPI issued: 5 Nov 2008
Record last updated: 5 Nov 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.