OrganizationActive
Advanced Medical Group LLC
NPI 1619260189 · Obstetrics & Gynecology Physician · Wayne, NJ
Provider details
- NPI number
- 1619260189
- Entity type
- Organization
- Primary specialty
- Obstetrics & Gynecology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Khashayar Vosough, Member(973) 826-8290
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
145 Route 46 W
Suite 304
Wayne, NJ 07470-6830
Phone: (973) 826-8290
Fax: (866) 760-4555
Approximate (ZIP-level) locationGet directions
Mailing address
145 Route 46 W
Wayne, NJ 07470-6830
Registry dates
- Enumerated
- 2011-05-17
- Last updated
- 2011-05-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.