Organization
SURGAIDE 3 LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KHASHAYAR VOSOUGH MD (MD/OWNER)
(973) 458-0114
Entity
Organization
Contact information
Practice address
35 HORIZON DR, WAYNE, NJ 07470-4964
(973) 458-0114
(973) 458-0661
Mailing address
PO BOX 4397, CLIFTON, NJ 07012-8397
(973) 458-0114
(973) 458-0661
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
08/10/2007
Last updated
08/10/2007
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