| NPI | 1770778979 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PARVIZ MOAZAMI M.D. LLC 201-868-8400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: NJ 25MA05018800) |
| Enumeration Date | 2007-09-11 |
| Last Update Date | 2007-09-11 |