Advanced Medical Group LLC
NPI #1619260189 in Wayne, New Jersey
Provider Information
- NPI Number
- 1619260189
- Entity Type
- Organization
- Organization Name
- Advanced Medical Group LLC
- Primary Specialty
- Obstetrics & Gynecology
- Enumeration Date
- May 17, 2011
- Last Updated
- May 17, 2011
Practice Location
- Address
- 145 ROUTE 46 W
- Address 2
- SUITE 304
- City
- Wayne
- State
- New Jersey
- ZIP Code
- 07470-6830
- Phone
- (973) 826-8290
Authorized Official
- Name
- DR. KHASHAYAR VOSOUGH, M.D.
- Title
- MEMBER
- Phone
- (973) 826-8290
Specialties & Taxonomy Codes
| Specialty |
|---|
| Obstetrics & Gynecology |
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