Organization
ADVANCED INFECTIOUS DISEASE MEDICAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AVISHEH FOROUZESH M.D (PHYSICIAN)
(201) 238-2888
Entity
Organization
Contact information
Practice address
331 GRAND ST, GROUND FLOOR, HOBOKEN, NJ 07030-2719
(201) 238-2888
Mailing address
330 WASHINGTON ST, PMB #603, HOBOKEN, NJ 07030-4883
(201) 238-2888
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
25MA09020700
NJ
Other
Enumeration date
10/23/2013
Last updated
11/13/2014
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