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Organization

OHANIAN, HERIPSIME, PHD, MD

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. HERIPSIME OHANIAN MD (OWNER)
(201) 265-9042
Entity
Organization

Contact information

Practice address
1 KALISA WAY, SUITE 103, PARAMUS, NJ 07652-3516
(201) 265-9042
Mailing address
1 KALISA WAY, SUITE 103, PARAMUS, NJ 07652-3516
(201) 265-9042

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
25MA05134100
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2079006000
AMERIHEALTH GROUP #
NJ
Enumeration date
06/02/2006
Last updated
09/13/2007
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