|Entity Type||Healthcare Provider|
|Active||Over 9 years ago|
|268 MARTIN LUTHER KING JR BLVD
NEWARK NJ, 07102-2011, US
|PO BOX 318
CEDAR GROVE NJ, 07009-0318, US
|License State||New Jersey|
|Remove 1891872412 NPI Number|
According to our database, Fayez Shamoon NPI is 1891872412, taxonomy code is 207RC0000X and license number is 25MA05551600, license state is located at New Jersey. Fayez Shamoon physically located at 268 Martin Luther King Jr Blvd, Newark NJ, 07102-2011. NPI Number 1033115704 has the healthcare provider type.
1891872412 NPI number is provided on an as is basis without warranty of any kind. 1891872412 is maintained by the National Plan & Provider Enumeration System. The contents of Fayez Shamoon are for informational purposes only.