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General NPI Number Information
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NPI Number | 1053501460
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Entity Type | Organization
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Legal Business Name | MOEIN F. VASEGHI, MD, PA
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Dates
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Enumeration Date | 07/31/2007
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Last Update Date | 10/06/2021
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Provider Practice Location Address
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Address Line | 104 N EUCLID AVE
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City | WESTFIELD
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State | NJ
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Zip | 07090-2427
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Country | US
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Telephone | 908-889-4600
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Fax | 908-889-5527
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Provider Business Mailing Address
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Address Line | 24 SENTINEL DR
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City | BASKING RIDGE
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State | NJ
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Zip | 07920-4233
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Country | US
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Telephone | 908-889-4600
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Fax | 908-889-5527
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. MOEIN F VASEGHI
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Credential | MD
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Telephone | 646-662-1912
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | 25MA07840500
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number | 25MA07840500
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License Number State | NJ
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