Organization
NEUROLOGY CONSULTANTS OF SOUTH JERSEY, LLC
Active
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
Update your record
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