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Organization
NEWAEON LLC
Active
Organization
NEWAEON LLC
Active
Other names
Arizona Neurodiagnostic Services
Organization subpart
No
Provider details
NPI number
Authorized official
ISLAM ABUJUBARA MD (OWNER)
(623) 209-1488
Entity
Organization
Contact information
Practice address
111 E DUNLAP AVE, SUITE 1-621, PHOENIX, AZ 85020-2807
(623) 209-1488
(602) 633-3673
Mailing address
111 E DUNLAP AVE, SUITE 1-621, PHOENIX, AZ 85020-2807
(623) 209-1488
(602) 633-3673
Taxonomy
Speciality
Code
Description
License number
State
2084D0003X
Diagnostic Neuroimaging (Psychiatry & Neurology) Physician
Primary
—
NULL
2084D0003X
Diagnostic Neuroimaging (Psychiatry & Neurology) Physician
Primary
—
—
2084N0400X
Neurology Physician
—
NULL
2084N0400X
Neurology Physician
—
—
Other
Enumeration date
04/17/2017
Last updated
04/17/2017
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