# HOMAYOUN HOMAYOUNI MD PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Homayoun Homayouni, MD
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053669879
- **Authorized official:** HOMAYOUN HOMAYOUNI MD (OWNER)
- **Authorized official phone:** (609) 485-0808

## Contact information

- **Practice address:** 334 W OAKCREST AVE, NORTHFIELD, NJ 08225-1716
- **Practice address phone:** (609) 488-0808
- **Practice address fax:** (609) 485-0737
- **Mailing address:** 334 W OAKCREST AVE, NORTHFIELD, NJ 08225-1716
- **Mailing address phone:** (609) 488-0808
- **Mailing address fax:** (609) 485-0737

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RI0200X | Infectious Disease Physician | 25MA03418200 | NJ | Yes |

## Other

- **Enumeration date:** 08/28/2012
- **Last updated:** 08/28/2012