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Individual

HOUMAN KHOSROZADEH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
99 BEAUVOIR AVE, SUMMIT, NJ 07901-3533
(908) 522-2000
Mailing address
1600 S ANDREWS AVE, FORT LAUDERDALE, FL 33316-2510

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
25MA11462000
NJ
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
25MA11462000
NJ

Other

Enumeration date
04/18/2019
Last updated
06/05/2025
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