Organization
PUREMED LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HORMOZ MOHTASHEMI M.D. (OWNER/ MEDICAL DIRECTOR)
(201) 608-5284
Entity
Organization
Contact information
Practice address
200 ENGLE ST, ENGLEWOOD, NJ 07631-2440
(201) 608-5284
(201) 608-5289
Mailing address
200 ENGLE ST, SUITE 21, ENGLEWOOD, NJ 07631-2440
(201) 608-5284
(201) 608-5289
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
11/24/2014
Last updated
02/05/2015
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