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Individual

DR. SYED HUSSAINI

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
235 HOMESTEAD PL, PARK RIDGE GERIATRICS, PARK RIDGE, NJ 07656-2438
(973) 578-9739
Mailing address
PO BOX 557, PARK RIDGE GERIATRICS, PARK RIDGE, NJ 07656-0557
(973) 578-9739

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA69195
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8346101
NJ
Enumeration date
04/04/2006
Last updated
07/08/2007
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