Individual
WISSAM B. ABOUZGHEIB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3 COOPER PLZ RM 104, CAMDEN, NJ 08103-1407
(856) 968-8695
(856) 968-8206
Mailing address
1 FEDERAL ST # 200, CAMDEN, NJ 08103-1088
(856) 356-4924
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
25MA07851900
NJ
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
25MA07851900
NJ
207RP1001X
Pulmonary Disease Physician
Primary
25MA07851900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
171122001
—
AR
05
—
200196730A
—
OK
Enumeration date
05/25/2006
Last updated
06/13/2022
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