Individual
DR. JAN SAMIR YOUSSEF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
115 FRANKLIN AVE, NUTLEY, NJ 07110-2924
(973) 773-9250
(973) 773-9525
Mailing address
115 FRANKLIN AVE, NUTLEY, NJ 07110-2924
(973) 773-9250
(973) 773-9525
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
25MA07328900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0037109
—
NJ
Enumeration date
06/22/2006
Last updated
01/13/2013
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