Individual
SANDRA HAROUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
425 JACK MARTIN BLVD, BRICK, NJ 08724-7732
(716) 859-1993
Mailing address
425 JACK MARTIN BLVD, BRICK, NJ 08724-7732
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
25MB10319200
NJ
Other
Enumeration date
04/15/2015
Last updated
06/20/2019
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