Organization
HANY A SOURIAL MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HANY A SOURIAL MD (OWNER)
(201) 265-1818
Entity
Organization
Contact information
Practice address
1 SEARS DR FL 3, PARAMUS, NJ 07652-3515
(201) 265-1818
(201) 897-5430
Mailing address
39 MEADOW LAKE DR, MAHWAH, NJ 07430-2504
(201) 265-1818
(201) 897-5430
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8718105
—
NJ
Enumeration date
05/26/2006
Last updated
12/31/2019
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