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Individual
DR. NADINE SROUJI
Active
Individual
DR. NADINE SROUJI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD068942L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0019204280001
—
PA
01
—
066356
MEDICARE NUMBER
PA
01
—
1841914
AETNA -HMO
PA
01
—
20023157
AETNA
PA
01
—
P004990
GATEWAY
PA
01
—
SR1421777
HIGHMARK BLUE SHIELD
PA
Enumeration date
04/13/2006
Last updated
04/19/2024
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