Individual
DR. REZA MOMENI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 DIAMOND HILL RD, SUMMIT MEDICAL GROUP, BERKELEY HEIGHTS, NJ 07922-2104
(908) 273-4300
(908) 673-7359
Mailing address
1 DIAMOND HILL RD, SUMMIT MEDICAL GROUP, BERKELEY HEIGHTS, NJ 07922-2104
(908) 273-4300
(908) 673-7359
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
MA77375
NJ
2082S0105X
Surgery of the Hand (Plastic Surgery) Physician
MA77375
NJ
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
MA77375
NJ
Other
Enumeration date
10/05/2005
Last updated
04/18/2008
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