Individual
DR. MERVAT B MANSOUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2 AUER CT STE D, EAST BRUNSWICK, NJ 08816-5824
(732) 257-5530
(732) 257-5531
Mailing address
26 GATES AVE, EAST BRUNSWICK, NJ 08816
(718) 377-2834
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
220228
NY
207RN0300X
Nephrology Physician
Primary
25MA08176800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02139802
—
NY
Enumeration date
07/13/2005
Last updated
07/31/2013
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