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1720057318
AZAM SOROUSH
NEPTUNE, NJ
NPI
1720057318
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2080P0206X Pediatrics, Pediatric Gastroenterology
(Licence: NJ 25MA06860600)
Enumeration Date
2006-03-16
Last Update Date
2017-01-24
Business Address
-- AZAM SOROUSH MD
61 DAVIS AVE STE 1
NEPTUNE, NJ 07753-4401
Phone number: 732-776-4860
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Mailing Address
-- AZAM SOROUSH MD
61 DAVIS AVE STE 1
NEPTUNE, NJ 07753-4401
Phone number: 732-776-4860
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