Individual
MOHAMMED DASTGHAIB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
300 CENTRAL AVE, EAST ORANGE, NJ 07018-2819
(973) 672-8400
Mailing address
PO BOX 827944, PHILADELPHIA, PA 19182-7944
(201) 804-2800
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
25MA02956300
NJ
Other
Enumeration date
11/15/2006
Last updated
07/08/2007
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