Organization
ADVANCED MEDICAL GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KHASHAYAR VOSOUGH M.D. (MEMBER)
(973) 826-8290
Entity
Organization
Contact information
Practice address
145 ROUTE 46 W, SUITE 304, WAYNE, NJ 07470-6830
(973) 826-8290
(866) 760-4555
Mailing address
145 ROUTE 46 W, SUITE 304, WAYNE, NJ 07470-6830
(973) 826-8290
(866) 760-4555
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
NJ
Other
Enumeration date
05/17/2011
Last updated
05/17/2011
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