Individual
DR. KEVIN GHORISHIZADEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 COOPER PLZ, CAMDEN, NJ 08103-1461
(800) 826-6737
Mailing address
23 OLD RIFLE CAMP RD, WOODLAND PARK, NJ 07424-3102
(973) 487-7644
(973) 487-7644
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/18/2025
Last updated
04/18/2025
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