Individual
KHASHAYAR VOSOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
193 MOUNTAIN AVE, SPRINGFIELD, NJ 07081-1755
(973) 218-1579
(973) 218-1589
Mailing address
193 MOUNTAIN AVE, SPRINGFIELD, NJ 07081-1755
(973) 218-1579
(973) 218-1589
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
25MA06580400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1790731271
GROUP NPI
NJ
01
—
18607
UNIVERSITY HEALTH PLANS
NJ
01
—
24476
AMERIGROUP
NJ
01
—
264795091
ADVANCED LAPAROSCOPY TAX ID
NJ
01
—
300171467
COMPREHENSIVE WOMEN'S HEALTHCARE,LLC TAX ID
NJ
05
—
7444401
—
NJ
01
—
P1265811
OXFORD
NJ
Enumeration date
06/03/2006
Last updated
11/12/2024
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