Individual
ALEXIS MASSOUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
92 SUMMIT AVE, HACKENSACK, NJ 07601-1263
(201) 373-6453
Mailing address
3 UNIVERSITY PLZ STE 205, HACKENSACK, NJ 07601-6208
(201) 833-3599
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
26NJ01378500
NJ
Other
Enumeration date
10/03/2022
Last updated
07/23/2024
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