Provider Demographics
NPI:1982810446
Name:MEKHJIAN, HAROUT A (MD)
Entity Type:Individual
Prefix:DR
First Name:HAROUT
Middle Name:A
Last Name:MEKHJIAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 1593
Mailing Address - Street 2:
Mailing Address - City:SECAUCUS
Mailing Address - State:NJ
Mailing Address - Zip Code:07096-1593
Mailing Address - Country:US
Mailing Address - Phone:201-635-1003
Mailing Address - Fax:201-635-1332
Practice Address - Street 1:703 MAIN ST
Practice Address - Street 2:ANESTHESIOLOGY DEPT
Practice Address - City:PATERSON
Practice Address - State:NJ
Practice Address - Zip Code:07503-2621
Practice Address - Country:US
Practice Address - Phone:973-754-2323
Practice Address - Fax:973-977-9455
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-14
Last Update Date:2008-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA08442700207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology