Individual
ADAM SOUROUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1080 BROADWAY, BAYONNE, NJ 07002-4156
(201) 620-9175
Mailing address
1080 BROADWAY, BAYONNE, NJ 07002-4156
(201) 314-8512
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RI04307800
NJ
Other
Enumeration date
05/30/2023
Last updated
05/30/2023
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