Individual
NOSSRATOLLAH HOOSHANGI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
93 JAMES ST, SUITE 309, EDISON, NJ 08820-3902
(732) 549-9082
(732) 549-9251
Mailing address
93 JAMES ST, SUITE 309, EDISON, NJ 08820-3902
(732) 549-9082
(732) 549-9251
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
25MA03256800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0670502
—
NJ
Enumeration date
10/18/2006
Last updated
02/04/2016
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