Organization
ESA SOUTH JERSEY BARIATRICS, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. AHMED FAROUK ATTIA D.O. (PHYSICIAN/PROPRIETOR)
(856) 362-5259
Entity
Organization
Contact information
Practice address
1103 WEST SHERMAN AVENUE, BUILDING 2 UNIT C, VINELAND, NJ 08360
(856) 362-5259
(856) 405-6978
Mailing address
1103 WEST SHERMAN AVENUE, BUILDING 2 UNIT C, VINELAND, NJ 08360
(856) 362-5259
(856) 407-6978
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
25MB082666100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01004632800
AMERICHOICE-UHC COMMUNITY PLAN
NJ
05
—
0148911
—
NJ
01
—
2785305
UNITED HEALTHCARE
NJ
01
—
2871684000
AMERIHEALTH HMO
NJ
01
—
3811510001
AMERIHEALTH
NJ
01
—
5974712
CIGNA HEALTHCARE
NJ
01
—
60072276
HORIZON NJ HEALTH
NJ
01
—
P3868269
OXFORD-UNITED HEALTHCARE
NJ
Enumeration date
10/05/2010
Last updated
03/07/2022
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