Individual
DR. MOHAMMAD GHODSI
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
30 PROSPECT AVE, DEPT OF CARDIOTHORACIC SURGERY, HACKENSACK, NJ 07601-1914
(201) 996-2791
Mailing address
310 PROSPECT AVE, APT 601, HACKENSACK, NJ 07601-7760
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
25MA03851800
NJ
Other
Enumeration date
06/09/2006
Last updated
07/08/2007
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