Basic Information
| Provider Information | |||||||||
| NPI: | 1437384062 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | BAZARGAN LARI | ||||||||
| FirstName: | HAMED | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 11 SENTINEL COURT | ||||||||
| Address2: | D | ||||||||
| City: | CHATHAM | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 07928 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9082160488 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 1 DIAMOND HILL RD | ||||||||
| Address2: | |||||||||
| City: | BERKELEY HEIGHTS | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 079222104 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9082778682 | ||||||||
| FaxNumber: | 9082778694 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/27/2009 | ||||||||
| LastUpdateDate: | 03/06/2018 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207W00000X | 264224-1 | NY | N | Allopathic & Osteopathic Physicians | Ophthalmology | 207W00000X | 25MA09288500 | NJ | Y | Allopathic & Osteopathic Physicians | Ophthalmology |
No ID Information.