Organization
FAYEZ SHAMOON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FAYEZ SHAMOON MD (OWNER)
(973) 877-5160
Entity
Organization
Contact information
Practice address
268 MARTIN LUTHER KING JR BLVD, NEWARK, NJ 07102-2011
(973) 877-5160
Mailing address
PO BOX 318, CEDAR GROVE, NJ 07009-0318
(973) 877-5160
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
25MA05551600
NJ
Other
Enumeration date
11/01/2006
Last updated
11/03/2008
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