Individual
DR. HORMOZ MOHTASHEMI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
516 HAMBURG TPKE, SUITE 11, WAYNE, NJ 07470-2062
(973) 956-8080
(973) 790-0450
Mailing address
516 HAMBURG TPKE, SUITE 11, WAYNE, NJ 07470-2062
(973) 956-8080
(973) 790-0450
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
MAD02603900
NJ
Other
Enumeration date
08/14/2006
Last updated
09/10/2007
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