Individual
DR. PARVIZ MOAZAMI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7000 KENNEDY BLVD E, GUTTENBERG, NJ 07093-4818
(201) 868-8400
Mailing address
7000 KENNEDY BLVD E, GUTTENBERG, NJ 07093-4818
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA050188
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0623202
—
NJ
Enumeration date
07/28/2006
Last updated
07/08/2007
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