| Organization Name: | MOEIN F. VASEGHI, MD, PA |
| NPI Number: | 1053501460 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MOEIN F VASEGHI (DIRECTOR) |
| Mailing Address: | 282 South Ave Ste 102 Fanwood |
| State: | NJ US |
| Postal Code: | 070231346 |
| Phone Number: | 9088894600 |
| Fax Number: | 9088895527 |
| NPI Enumeration Date: | 07/31/2007 |
| NPI Last Update Date: | 01/09/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2300X |
| License Number: | 25MA07840500 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NJ |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Primary Care |
| Taxonomy Definition: | |