Organization
ALLEGIANCE HEALTH GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANASSE SOUIDI MD (PRESIDENT)
(215) 834-8693
Entity
Organization
Contact information
Practice address
40 FULD ST, SUITE 305, TRENTON, NJ 08638-5247
(609) 815-7773
(609) 394-6328
Mailing address
40 FULD ST, SUITE 305, TRENTON, NJ 08638-5247
(609) 815-7773
(609) 394-6328
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
—
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
207RC0000X
Cardiovascular Disease Physician
—
—
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
—
—
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
—
—
207RG0100X
Gastroenterology Physician
—
—
207RH0003X
Hematology & Oncology Physician
—
—
207RI0200X
Infectious Disease Physician
—
—
207RP1001X
Pulmonary Disease Physician
—
—
207RR0500X
Rheumatology Physician
—
—
207RS0012X
Sleep Medicine (Internal Medicine) Physician
—
—
208000000X
Pediatrics Physician
—
—
208D00000X
General Practice Physician
Primary
—
—
291U00000X
Clinical Medical Laboratory
—
—
Other
Enumeration date
02/17/2014
Last updated
07/22/2015
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