# AZIN KHANMOHAMADI MD PC

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

## Provider details

- **NPI number:** 1235262130
- **Authorized official:** DR. AZIN KHANMOHAMADI MD (PROPRIETOR)
- **Authorized official phone:** (732) 388-1508

## Contact information

- **Practice address:** 11 LINCOLN BLVD, CLARK, NJ 07066-3227
- **Practice address phone:** (732) 388-1508
- **Practice address fax:** (732) 388-9040
- **Mailing address:** 11 LINCOLN BLVD, CLARK, NJ 07066-3227
- **Mailing address phone:** (732) 388-1508
- **Mailing address fax:** (732) 388-9040

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | M067371 | NJ | Yes |

## Other

- **Enumeration date:** 03/13/2007
- **Last updated:** 07/08/2010