| Hany A Sourial Md Pc | |
|
1 Sears Dr Fl 3 Paramus NJ 07652-3515 | |
| (201) 265-1818 | |
| (201) 897-5430 |
| Full Name | Hany A Sourial Md Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1 Sears Dr Fl 3, Paramus, New Jersey |
| Authorized Official Name and Position | Hany A Sourial (OWNER) |
| Authorized Official Contact | 2012651818 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hany A Sourial Md Pc 39 Meadow Lake Dr Mahwah NJ 07430-2504 Ph: (201) 265-1818 | Hany A Sourial Md Pc 1 Sears Dr Fl 3 Paramus NJ 07652-3515 Ph: (201) 265-1818 |
| NPI Number | 1346296811 |
|---|---|
| Provider Enumeration Date | 05/26/2006 |
| Last Update Date | 12/31/2019 |
| Medicare PECOS PAC ID | 5991864936 |
|---|---|
| Medicare Enrollment ID | O20081208000260 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346296811 | NPI | - | NPPES |
| 8718105 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Hany Sourial |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427027200 PECOS PAC ID: 8224022645 Enrollment ID: I20040409000135 |
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