Individual
DR. MESUM MOOSAVI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
290 LAFAYETTE AVE, HAWTHORNE, NJ 07506-1961
(856) 266-0445
Mailing address
830 MORRIS TPKE FL 4, SHORT HILLS, NJ 07078-2625
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
R73958
AZ
208D00000X
General Practice Physician
Primary
25MA10937100
NJ
Other
Enumeration date
07/01/2013
Last updated
08/23/2023
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