Provider Demographics
NPI:1447565411
Name:BABAR, FARRUKH
Entity Type:Individual
Prefix:
First Name:FARRUKH
Middle Name:
Last Name:BABAR
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:394 UNION ST
Mailing Address - Street 2:
Mailing Address - City:JERSEY CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:07304-1212
Mailing Address - Country:US
Mailing Address - Phone:201-868-2323
Mailing Address - Fax:
Practice Address - Street 1:394 UNION ST
Practice Address - Street 2:
Practice Address - City:JERSEY CITY
Practice Address - State:NJ
Practice Address - Zip Code:07304-1212
Practice Address - Country:US
Practice Address - Phone:201-868-2323
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-08-13
Last Update Date:2015-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247100000XTechnologists, Technicians & Other Technical Service ProvidersRadiologic Technologist