Organization
ATHENA HEALTHCARE GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KHASHAYAR VOSOUGH MD (MEMBER)
(973) 826-8290
Entity
Organization
Contact information
Practice address
145 RTE 46 W, SUITE 304, WAYNE, NJ 07470-6830
(973) 826-8290
(866) 760-4555
Mailing address
145 RTE 46 W, SUITE 304, WAYNE, NJ 07470-6830
(973) 826-8290
(866) 760-4555
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Enumeration date
05/11/2011
Last updated
09/21/2012
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