Individual
RAAFAT BARSOOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
617 BROAD ST, NEWARK, NJ 07102-4403
(862) 246-7940
(862) 246-7940
Mailing address
9 APPLETREE DR, ANNANDALE, NJ 08801-3477
(973) 202-2783
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
22055
NV
207P00000X
Emergency Medicine Physician
25MA08647900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0242179
—
NJ
05
—
03280802
—
NY
Enumeration date
04/27/2009
Last updated
09/22/2023
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