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Farzad Nourollah-zadeh
Oral Medicinist in Philadelphia, Pennsylvania
NPI 1306451695

Farzad Nourollah-zadeh is a Oral Medicinist based in Philadelphia, PA. Farzad Nourollah-zadeh practices in Philadelphia, PA. The NPI Number for Farzad Nourollah-zadeh is 1306451695 and holds a License No. 23-1352685 (Pennsylvania).

The current practice location address for Farzad Nourollah-zadeh is 3400 Civic Center Blvd, Philadelphia, PA and can be reached out via phone at 267-307-3827.

Location: 3400 Civic Center Blvd, Philadelphia, PA, 19104-3018
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1306451695
Provider Name
Farzad Nourollah-zadeh
Credential
Provider Entity Type
Individual
Gender
Male
Address
3400 Civic Center Blvd, Philadelphia, PA, 19104-3018
Phone Number
267-307-3827
Fax Number
Provider Enumeration Date
09/13/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
23-1352685 05 PA
45862287 05 PA
institution
Provider Business Practice Location Address Details
Address
3400 Civic Center Blvd
City
Philadelphia
State
Pennsylvania
Zip
19104-5127
Phone Number
267-307-3827
Fax Number
person
Provider Business Mailing Address Details
Address
3400 Civic Center Blvd
City
Philadelphia
State
Pennsylvania
Zip
19104-5127
Phone Number
267-307-3827
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Oral Medicinist
Speciality
-
Taxonomy
125Q00000X
License No.
23-1352685 (Pennsylvania)
Definition
A dentist with advanced training specializing in the recognition and treatment of oral conditions resulting from the interrelationship between oral disease and systemic health. The Oral Medicinist manages clinical and non-surgical treatment of non-dental pathologies affecting the oral and maxillofacial region, such as cancer, organ transplants, and acute and chronic pain. Activities include provision of interdisciplinary patient care in collaboration with medical specialists and other dentists in hospitals and outpatient medical clinics in the management of patients with complex medical conditions requiring multidisciplinary healthcare intervention.
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