Individual
DR. MOHAMED H ELDESOUKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
111 CENTRAL AVE, NEWARK, NJ 07102-1909
(973) 342-5212
Mailing address
802 1ST ST SW, ROCHESTER, MN 55902-0308
(507) 601-0956
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
10713
NJ
Other
Enumeration date
05/27/2024
Last updated
05/27/2024
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