Individual
NATALIE ANN SOUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
741 BROADWAY, NEWARK, NJ 07104-4309
(973) 483-1300
(973) 676-1396
Mailing address
31 MINNEHAHA PATH APT 2, LINCOLN PARK, NJ 07035-2310
(973) 897-4536
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA11138400
NJ
208000000X
Pediatrics Physician
25MA11138400
NJ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/31/2017
Last updated
08/13/2021
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