Organization
PARVIZ MOAZAMI,M.D. LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PARVIZ MOAZAMI M.D. (M.D. LLC)
(201) 868-8400
Entity
Organization
Contact information
Practice address
7000 BOULEVARD EAST, GUTTENBERG, NJ 07093-4818
(201) 868-8400
Mailing address
7000 BOULEVARD EAST, GUTTENBERG, NJ 07093-4818
(201) 868-8400
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
25MA05018800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
062302
—
NJ
Enumeration date
09/11/2007
Last updated
09/11/2007
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