Individual
NIZAR SOUAYAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
90 BERGEN ST, DOC 8100, NEWARK, NJ 07103-2425
(973) 972-2550
(973) 972-2559
Mailing address
30 BERGEN ST, ADMC 12 1205, NEWARK, NJ 07107-3000
Taxonomy
Speciality
Code
Description
License number
State
2084N0008X
Neuromuscular Medicine (Psychiatry & Neurology) Physician
25MA07746800
NJ
2084N0400X
Neurology Physician
Primary
25MA07746800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0050385
—
NJ
Enumeration date
02/09/2007
Last updated
04/10/2024
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