Individual
MRS. MANAL ANN SOUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
637 WYCOFF AVE, SECOND FLOOR OFFICE 3, WYCKOFF, NJ 07481
(201) 848-0700
(201) 848-0677
Mailing address
637 WYCOFF AVE, SECOND FLOOR OFFICE 3, WYCKOFF, NJ 07481
(201) 848-0700
(201) 848-0677
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MA66503
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8312800
—
NJ
Enumeration date
09/06/2006
Last updated
07/08/2007
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