| Rolando Sousa Md, Pc | |
|
330 Grand St Hoboken NJ 07030-2728 | |
| (973) 222-4653 | |
| (732) 391-5115 |
| Full Name | Rolando Sousa Md, Pc |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 330 Grand St, Hoboken, New Jersey |
| Authorized Official Name and Position | Rolando Sousa (PRESIDENT) |
| Authorized Official Contact | 9732224653 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rolando Sousa Md, Pc 330 Grand St Hoboken NJ 07030-2728 Ph: (973) 222-4653 | Rolando Sousa Md, Pc 330 Grand St Hoboken NJ 07030-2728 Ph: (973) 222-4653 |
| NPI Number | 1740508829 |
|---|---|
| Provider Enumeration Date | 05/13/2010 |
| Last Update Date | 05/13/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740508829 | NPI | - | NPPES |
| 0092886 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
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