Organization
NEUROLOGY CONSULTANTS OF SOUTH JERSEY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IMAN SHAWKI YOUSSEF M.D. (MEMBER)
(609) 653-1024
Entity
Organization
Contact information
Practice address
76 W JIMMIE LEEDS RD, SUITE 503, GALLOWAY, NJ 08205-9411
(609) 748-7820
(609) 748-7825
Mailing address
24 MARSHALL DR, EGG HARBOR TOWNSHIP, NJ 08234-6002
(609) 653-1024
Taxonomy
Speciality
Code
Description
License number
State
2084N0600X
Clinical Neurophysiology Physician
Primary
25MA07153100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8649308
—
NJ
Enumeration date
02/04/2007
Last updated
08/10/2007
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