Individual
HOOSHANG SADEGHI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
631 BROADWAY, 3RD FLOOR, BAYONNE, NJ 07002-3846
(201) 823-2888
(201) 823-2880
Mailing address
PO BOX 4302, WARREN, NJ 07059-0302
(201) 823-2888
(201) 823-2880
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA29197
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3642003
—
NJ
Enumeration date
01/30/2007
Last updated
07/08/2007
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