# ATHENA HEALTHCARE GROUP LLC

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

## Provider details

- **NPI number:** 1912299777
- **Authorized official:** DR. KHASHAYAR VOSOUGH MD (MEMBER)
- **Authorized official phone:** (973) 826-8290

## Contact information

- **Practice address:** 145 RTE 46 W, SUITE 304, WAYNE, NJ 07470-6830
- **Practice address phone:** (973) 826-8290
- **Practice address fax:** (866) 760-4555
- **Mailing address:** 145 RTE 46 W, SUITE 304, WAYNE, NJ 07470-6830
- **Mailing address phone:** (973) 826-8290
- **Mailing address fax:** (866) 760-4555

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/11/2011
- **Last updated:** 09/21/2012