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General NPI Number Information
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NPI Number | 1053239178
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Entity Type | Organization
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Legal Business Name | ANDRE RAFIZADEH, MD P.C.
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Dates
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Enumeration Date | 07/07/2026
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Last Update Date | 07/07/2026
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Provider Practice Location Address
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Address Line | 101 MADISON AVE STE 105
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City | MORRISTOWN
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State | NJ
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Zip | 07960-7305
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Country | US
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Telephone | 973-267-0928
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Fax |
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Provider Business Mailing Address
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Address Line | 101 MADISON AVE STE 105
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City | MORRISTOWN
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State | NJ
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Zip | 07960-7305
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Country | US
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Telephone | 973-267-0928
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. ANDRE DARIUS RAFIZADEH
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Credential | MD
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Telephone | 973-267-0928
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2086S0122X
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Taxonomy Name | Plastic and Reconstructive Surgery Physician
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License Number |
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License Number State |
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