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Individual

ANASSE SOUIDI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D

Contact information

Practice address
750 BRUNSWICK AVE, TRENTON, NJ 08638-4143
(609) 394-6000
Mailing address
750 BRUNSWICK AVE, TRENTON, NJ 08638-4143
(609) 394-6143

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA08448200
NJ
207R00000X
Internal Medicine Physician
MD4355193
PA
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
05/01/2008
Last updated
05/14/2021
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