Individual
DR. EVELYNE KALYOUSSEF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
90 BERGEN STREET, SUITE8100, NEWARK, NJ 07103
(973) 972-4588
Mailing address
90 BERGEN STREET, SUITE8100, NEWARK, NJ 07103
(973) 972-4588
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
25MA09150700
NJ
Other
Enumeration date
06/21/2007
Last updated
09/12/2012
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