Individual
DR. ANTONIOUS SHERIF FAWZY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
901 W MAIN ST, FREEHOLD, NJ 07728-2549
(732) 431-2000
Mailing address
901 W MAIN ST, FREEHOLD, NJ 07728-2537
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MB10798400
NJ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0732389
—
NJ
Enumeration date
06/20/2017
Last updated
04/09/2024
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