Individual
DR. FAYEZ SHAMOON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
35-37 PROGRESS ST, EDISON, NJ 08820
(908) 754-9292
(908) 754-3358
Mailing address
35-37 PROGRESS ST, EDISON, NJ 08820
(908) 754-9292
(908) 754-3358
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
25MA05551600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6884504
—
NJ
Enumeration date
09/16/2005
Last updated
07/08/2007
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