Provider Demographics
NPI:1457528655
Name:NOZAD, CYRUS H (MD)
Entity Type:Individual
Prefix:DR
First Name:CYRUS
Middle Name:H
Last Name:NOZAD
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:47 ORIENT WAY
Mailing Address - Street 2:2ND FLOOR
Mailing Address - City:RUTHERFORD
Mailing Address - State:NJ
Mailing Address - Zip Code:07070-2082
Mailing Address - Country:US
Mailing Address - Phone:201-935-5508
Mailing Address - Fax:201-935-4166
Practice Address - Street 1:47 ORIENT WAY
Practice Address - Street 2:2ND FLOOR
Practice Address - City:RUTHERFORD
Practice Address - State:NJ
Practice Address - Zip Code:07070-2082
Practice Address - Country:US
Practice Address - Phone:201-935-5508
Practice Address - Fax:201-935-4166
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-15
Last Update Date:2015-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY248770207K00000X, 207R00000X
NJ25MA08950100207KA0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207KA0200XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyAllergy
No207K00000XAllopathic & Osteopathic PhysiciansAllergy & Immunology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine