Individual
NEJEM AOUSADJ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
1918 BLACK ROCK TPKE, FAIRFIELD, CT 06825-3543
(203) 583-8400
Mailing address
80 WEBER AVE APT 5, BRIDGEPORT, CT 06610-3040
(203) 583-5570
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5586
CT
Other
Enumeration date
02/17/2022
Last updated
02/17/2022
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