Individual
YOUSSEF BOTROS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
22-02 BROADWAY STE 301, FAIR LAWN, NJ 07410-3016
(201) 414-5732
Mailing address
135 JEFFERSON AVE, JERSEY CITY, NJ 07306-2128
(201) 696-6503
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
25MA10006700
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0778460
—
NJ
Enumeration date
06/12/2014
Last updated
12/26/2023
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