Organization
UROGYNECOLOGY AND ADVANCED GYNECOLOGY MEDICAL GROUP PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EMAD A. HASHEMI M.D. (PRESIDENT)
(973) 275-0025
Entity
Organization
Contact information
Practice address
120 IRVINGTON AVE, SOUTH ORANGE, NJ 07079-1904
(973) 275-0025
(973) 275-0026
Mailing address
PO BOX 272, CHATHAM, NJ 07928-0272
(973) 275-0025
(973) 275-0026
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0112089
—
NJ
Enumeration date
12/08/2006
Last updated
07/12/2007
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