Healthcare Provider Details

I. General information

NPI: 1932842440
Provider Name (Legal Business Name): JOSEPH RAFFI TERZIAN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/14/2022
Last Update Date: 07/15/2026
Certification Date: 07/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

183 HIGH ST STE 1500
NEWTON NJ
07860-9601
US

IV. Provider business mailing address

PO BOX 416457
BOSTON MA
02241-6457
US

V. Phone/Fax

Practice location:
  • Phone: 973-383-8555
  • Fax: 973-383-8424
Mailing address:
  • Phone: 844-362-1735
  • Fax: 973-290-7495

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number25MA12905400
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: