Organization
HACKENSACK CRITICAL CARE & PULMONARY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HORMOZ ASHTYANI M.D. (PRESIDENT)
(201) 996-0308
Entity
Organization
Contact information
Practice address
20 PROSPECT AVE STE 615, HACKENSACK, NJ 07601-1989
(201) 996-0308
(201) 996-0242
Mailing address
20 PROSPECT AVE STE 615, HACKENSACK, NJ 07601-1989
(201) 996-0308
(201) 996-0242
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
—
—
207RP1001X
Pulmonary Disease Physician
Primary
—
—
Other
Enumeration date
06/24/2014
Last updated
06/24/2014
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