Provider Demographics
NPI:1558302935
Name:EMAMI, ARASH (MD)
Entity Type:Individual
Prefix:
First Name:ARASH
Middle Name:
Last Name:EMAMI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:504 VALLEY RD
Mailing Address - Street 2:2ND FLOOR
Mailing Address - City:WAYNE
Mailing Address - State:NJ
Mailing Address - Zip Code:07470-3534
Mailing Address - Country:US
Mailing Address - Phone:973-686-0700
Mailing Address - Fax:973-686-0701
Practice Address - Street 1:504 VALLEY RD
Practice Address - Street 2:2ND FLOOR
Practice Address - City:WAYNE
Practice Address - State:NJ
Practice Address - Zip Code:07470-3534
Practice Address - Country:US
Practice Address - Phone:973-686-0700
Practice Address - Fax:973-686-0701
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-09
Last Update Date:2008-04-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJ25MA07119600207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ040082Medicare PIN
NY552G92Medicare PIN
G98012Medicare UPIN