Provider Demographics
NPI:1598904245
Name:M.H.AMIR ZANJANIAN, M.D., PA
Entity Type:Organization
Organization Name:M.H.AMIR ZANJANIAN, M.D., PA
Other - Org Name:ALLERGY & ASTHMA CONSULTANTS OF NORTH JERSEY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MOHAMAD
Authorized Official - Middle Name:HOSSEIN
Authorized Official - Last Name:ZANJANIAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:973-471-9191
Mailing Address - Street 1:930 CLIFTON AVE
Mailing Address - Street 2:
Mailing Address - City:CLIFTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07013-2723
Mailing Address - Country:US
Mailing Address - Phone:973-471-9191
Mailing Address - Fax:973-470-9858
Practice Address - Street 1:930 CLIFTON AVE
Practice Address - Street 2:
Practice Address - City:CLIFTON
Practice Address - State:NJ
Practice Address - Zip Code:07013-2723
Practice Address - Country:US
Practice Address - Phone:973-471-9191
Practice Address - Fax:973-470-9858
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-19
Last Update Date:2009-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ27180207K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJC61147Medicare UPIN