Individual
DR. AHMAD MOSSAVI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3200 SUNSET AVE, SUITE 107, OCEAN, NJ 07712-4556
(732) 502-0710
(732) 502-4882
Mailing address
3200 SUNSET AVE, SUITE 107, OCEAN, NJ 07712-4556
(732) 502-0710
(732) 502-4882
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
MA58130
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5229502
—
NJ
Enumeration date
03/09/2006
Last updated
07/08/2007
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