Individual
IMAD OMAR HARSOUNI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
705B ANDERSON AVE, CLIFFSIDE PARK, NJ 07010-2032
(201) 861-1851
Mailing address
331 NEWMAN SPRINGS RD, BLDG 2, STE 220, RED BANK, NJ 07701-5688
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA10960700
NJ
207R00000X
Internal Medicine Physician
4301503160
MI
Other
Enumeration date
03/23/2017
Last updated
01/23/2025
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