Individual
DR. ALI GABER MANSOUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
90 ROUTE 22, SPRINGFIELD, NJ 07081-3110
(973) 467-2273
Mailing address
40 SAPPHIRE LN, FRANKLIN PARK, NJ 08823-1631
(646) 856-3436
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25MA07554700
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1484071
AETNA
—
05
—
205729007
—
NJ
01
—
6464776
CIGNA
—
Enumeration date
12/07/2005
Last updated
02/05/2025
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