Individual
DR. HASSAN M ELMANSOURY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
695 US HIGHWAY 46, SUITE 400A, FAIRFIELD, NJ 07004-1592
(973) 894-1263
(888) 972-3703
Mailing address
PO BOX 4059, WAYNE, NJ 07474-4059
(973) 894-1263
(888) 972-3703
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA03379600
NJ
Other
Enumeration date
04/26/2007
Last updated
03/09/2016
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