Individual
DR. ROLANDO SOUSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
20 PROSPECT AVE, SUITE 905, HACKENSACK, NJ 07601-1997
(973) 222-4653
(646) 304-3194
Mailing address
15 SHADOW RIDGE RUN, WAYNE, NJ 07470-4956
(973) 222-4653
(646) 304-3194
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
25MA06780300
NJ
2084N0400X
Neurology Physician
25MA06780300
NJ
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
25MA067803
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0092886
—
NJ
Enumeration date
05/27/2006
Last updated
01/03/2026
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