Melissa Bahareh Bagloo MD

NPI 1407016108 - Surgery - 208600000X

NPI Details
NPI 1407016108
Gender Female
Enumeration Date 06/16/2008
Last Updated 08/21/2015
Entity Type Individual
Active Over 8 years ago
Practice Location
579 FRANKLIN TPKE
RIDGEWOOD NJ, 07450-1990, US
Phone (201) 251-3480
Fax (201) 689-2393
Business Location
579 FRANKLIN TPKE
RIDGEWOOD NJ, 07450-1990, US
Phone (201) 251-3480
Fax
Toxanomy
Taxonomy Code 208600000X
License State New Jersey
License Number 25MA08805600
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According to our database, Dr. Melissa Bahareh Bagloo MD NPI is 1407016108, taxonomy code is 208600000X and license number is 25MA08805600, license state is located at New Jersey. Melissa Bahareh Bagloo MD physically located at 579 Franklin Tpke, Ridgewood NJ, 07450-1990. NPI Number Melissa Bahareh Bagloo MD has the Individual type.

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1407016108 NPI number is provided on an as is basis without warranty of any kind. 1407016108 is maintained by the National Plan & Provider Enumeration System. The contents of Melissa Bahareh Bagloo MD are for informational purposes only.