Provider Demographics
NPI:1588778096
Name:GRIFFITH, NEGIN NOORCHASHM (MD)
Entity type:Individual
Prefix:DR
First Name:NEGIN
Middle Name:NOORCHASHM
Last Name:GRIFFITH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7 STILLWELL DR
Mailing Address - Street 2:
Mailing Address - City:HOLMDEL
Mailing Address - State:NJ
Mailing Address - Zip Code:07733-1927
Mailing Address - Country:US
Mailing Address - Phone:732-946-2789
Mailing Address - Fax:
Practice Address - Street 1:721 N BEERS ST
Practice Address - Street 2:SUITE 2B
Practice Address - City:HOLMDEL
Practice Address - State:NJ
Practice Address - Zip Code:07733-1518
Practice Address - Country:US
Practice Address - Phone:732-335-0335
Practice Address - Fax:732-335-0338
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA08127300208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery