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1740976547
IZAGE KIANIFAR
NORTH BERGEN, NJ
NPI
1740976547
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2023-04-13
Last Update Date
2023-04-26
Business Address
IZAGE KIANIFAR MD
7600 RIVER RD
NORTH BERGEN, NJ 07047-6217
Phone number: 201-710-2716
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Mailing Address
IZAGE KIANIFAR MD
7600 RIVER RD
NORTH BERGEN, NJ 07047-6217
Phone number: 201-710-2716
Copy
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