Individual
AMANY SAMIR ISMAIEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
162 5TH ST, CLIFTON, NJ 07011-3100
(862) 290-1968
Mailing address
162 5TH ST, CLIFTON, NJ 07011-3100
(862) 290-1968
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
25MA10952600
NJ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/27/2018
Last updated
05/25/2022
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