Individual
DR. RAZAN FAYEZ SHAMOON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
703 MAIN ST, PATERSON, NJ 07503-2621
(973) 754-2500
Mailing address
22-18 BROADWAY, STE 104, FAIR LAWN, NJ 07410-3016
Taxonomy
Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
Primary
25MA10521600
NJ
390200000X
Student in an Organized Health Care Education/Training Program
—
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0787728
—
NJ
Enumeration date
07/16/2014
Last updated
10/17/2023
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