Organization
SURGAIDE 2 LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KHASHAYAR VOSOUGH MD (MD/OWNER)
(973) 826-8287
Entity
Organization
Contact information
Practice address
145 ROUTE 46 W, WAYNE, NJ 07470-6830
(973) 826-8287
(973) 513-6081
Mailing address
PO BOX 4059, WAYNE, NJ 07474-4059
(973) 826-8287
(973) 513-6081
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
08/10/2007
Last updated
02/17/2011
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