Individual
NATHAN MOHSENI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
111 CENTRAL AVE, NEWARK, NJ 07102-1909
(973) 877-2317
Mailing address
3210 DA VINCI DR, PHILADELPHIA, PA 19145-5768
(484) 919-1297
(215) 465-0251
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
25MB08335200
NJ
Other
Enumeration date
09/09/2010
Last updated
09/09/2010
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