Doctor Name: | MOEIN FAGHIH VASEGHI |
NPI Number: | 1003892779 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D |
License Number: | 25MA07840500 |
Business Practice Address: | 282 South Ave Ste 102 Fanwood, NJ - 070231346 |
Business Phone Number: | 9088894600 |
Business Fax Number: | 9088895527 |
Mailing Address: | 24 Sentinel Dr, 24 Sentinel Dr BASKING RIDGE |
State: | NJ |
Postal Code: | 079204233 |
Phone Number: | 9083404252 |
Fax Number: | 9088895527 |
NPI Enumeration Date: | 12/15/2005 |
NPI Last Update Date: | 01/09/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207UN0901X |
License Number: | 25MA07840500 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Nuclear Medicine |
Taxonomy Specialization: | Nuclear Cardiology |
Taxonomy Definition: | A nuclear medicine physician who specializes in nuclear cardiology. |