Individual
DR. SYLVIANA S. BARSOUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1 ROBERT WOOD JOHNSON PL, NEW BRUNSWICK, NJ 08901-1928
(732) 828-3000
Mailing address
66 W GILBERT ST, 2ND FLOOR, TINTON FALLS, NJ 07701-4947
(732) 212-0051
(732) 212-0713
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
25MA05957900
NJ
207L00000X
Anesthesiology Physician
MA59579
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050032328
RR MCR PTAN
NJ
05
—
5561205
—
NJ
Enumeration date
01/18/2007
Last updated
07/23/2021
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