Individual
FUAD M KIBLAWI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 BROADWAY, SUITE 203, ELMWOOD PARK, NJ 07407-1842
(973) 569-6250
(973) 569-6270
Mailing address
1 BROADWAY, SUITE 203, ELMWOOD PARK, NJ 07407-1842
(973) 569-6250
(973) 569-6270
Taxonomy
Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
Primary
MA72786
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8857504
—
NJ
Enumeration date
11/01/2006
Last updated
07/08/2007
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