Organization
AZIN KHANMOHAMADI MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AZIN KHANMOHAMADI MD (PROPRIETOR)
(732) 388-1508
Entity
Organization
Contact information
Practice address
11 LINCOLN BLVD, CLARK, NJ 07066-3227
(732) 388-1508
(732) 388-9040
Mailing address
11 LINCOLN BLVD, CLARK, NJ 07066-3227
(732) 388-1508
(732) 388-9040
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
M067371
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2788705
—
NJ
Enumeration date
03/13/2007
Last updated
07/08/2010
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