# MANOUCHER KATEBIAN, M.D. PA

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

## Provider details

- **NPI number:** 1609049501
- **Authorized official:** DR. MANOUCHER KATEBIAN (MEDICAL DOCTOR)
- **Authorized official phone:** (201) 342-3800

## Contact information

- **Practice address:** 274 SUMMIT AVE, HACKENSACK, NJ 07601-1432
- **Practice address phone:** (201) 342-3800
- **Practice address fax:** (201) 343-7320
- **Mailing address:** 274 SUMMIT AVE, HACKENSACK, NJ 07601-1432
- **Mailing address phone:** (201) 342-3800
- **Mailing address fax:** (201) 343-7320

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 174400000X | Specialist | MA02875800 | NJ | — |
| 207R00000X | Internal Medicine Physician | MA02875800 | NJ | Yes |

## Other

- **Enumeration date:** 04/11/2008
- **Last updated:** 06/19/2008