Individual
HOSSAM RADWAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
511 NEW BRUNSWICK AVE, PERTH AMBOY, NJ 08861-3682
(732) 442-0300
Mailing address
23 GEMINI LN, MANALAPAN, NJ 07726-8816
(732) 863-1118
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
25MA06340100
NJ
208000000X
Pediatrics Physician
Primary
MA 63401
NJ
Other
Enumeration date
09/20/2006
Last updated
03/10/2014
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