Mossavi, Ahmad

Mossavi, Ahmad is an sole proprietor health care provider with primary practice located at 3200 Sunset Ave Suite 107, Ocean NJ 07712-4556. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Mossavi, Ahmad can be contacted via phone (732) 502-0710.

Contact Information

Primary practice address
3200 Sunset Ave Suite 107 Ocean NJ 07712-4556
Fax: (732) 502-4882
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X MA58130 New Jersey

Profile Details

NPI number 1629046248
LBN Legal business name Mossavi, Ahmad
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 9th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629046248 NPPES
New Jersey MEDICAID 5229502

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