Organization
FAYROUZ PEDIATRIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HISHAM H GADALLA MD (PRESIDENT)
(973) 928-3388
Entity
Organization
Contact information
Practice address
540 STRAIGHT STREET SECOND FLOOR 2E, PATERSON, NJ 07503
(973) 928-3388
(973) 928-3388
Mailing address
238 OLD WAGON ROAD, FRANKLIN LAKES, NJ 07417-1626
(973) 928-3388
(973) 928-3388
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
25MA075893
NJ
Other
Enumeration date
09/25/2008
Last updated
01/09/2024
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