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Individual

DR. MOHAMMAD-ALI MOUSAVI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
201 LYONS AVE, NEWARK, NJ 07112-2027
(973) 926-7000
Mailing address
5 DONNA DR, EDISON, NJ 08820-2117
(732) 261-0628

Taxonomy

Speciality
Code
Description
License number
State
207U00000X
Nuclear Medicine Physician
25MB08686700
NJ
207U00000X
Nuclear Medicine Physician
275699
NY
2085R0202X
Diagnostic Radiology Physician
25MB08686700
NJ
2085R0202X
Diagnostic Radiology Physician
275699
NY
2085R0204X
Vascular & Interventional Radiology Physician
Primary
25MB08686700
NJ
2085R0204X
Vascular & Interventional Radiology Physician
275699
NY
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
05/17/2012
Last updated
05/02/2024
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