Individual
DR. CYRUS KHORRAMI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
154 HWY 37 W, TOMS RIVER, NJ 08755-8059
(732) 244-0777
Mailing address
154 HWY 37 W, TOMS RIVER, NJ 08755-8059
(732) 244-0777
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
25MA07852100
NJ
2085R0202X
Diagnostic Radiology Physician
D67755
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
017906000
—
MD
01
—
1937872
AETNA
NJ
01
—
60043108
HORIZON NJ HEALTH
NJ
Enumeration date
04/08/2008
Last updated
07/02/2010
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