# HEMATOLOGY-ONCOLOGY PROFESSIONAL OF WAYNE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124257753
- **Authorized official:** PEYMAN MAGHSOUDLOU (MANAGER)
- **Authorized official phone:** (973) 773-2039

## Contact information

- **Practice address:** 8028 BRITTANY DR, WAYNE, NJ 07470-3297
- **Practice address phone:** (973) 773-2039
- **Mailing address:** PO BOX 4237, CLIFTON, NJ 07012-4237
- **Mailing address phone:** (973) 773-2039

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RH0000X | Hematology (Internal Medicine) Physician | — | NULL | Yes |
| 207RH0000X | Hematology (Internal Medicine) Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/02/2009
- **Last updated:** 07/08/2009