Individual
DR. MICHAEL G D'SOUZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
718 TEANECK RD, DEPT.OF ANESTHESIA, TEANECK, NJ 07666-4245
(201) 833-7149
(201) 833-6576
Mailing address
718 TEANECK RD, DEPT.OF ANESTHESIA, TEANECK, NJ 07666-4245
(201) 833-7149
(201) 833-6576
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
193304-1
NY
207L00000X
Anesthesiology Physician
25MA07980600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01445183
—
NY
Enumeration date
09/01/2006
Last updated
10/12/2007
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