ALLEGIANCE MSO LLC

LAWRENCEVILLE, NJ
NPI1871950311
Entity TypeOrganization
Authorized ContactANASSE SOUIDI
Owner
609-695-4422
Organization Subpart ?No
Primary Taxonomy207R00000X Internal Medicine
Additional Taxonomies207LP2900X Anesthesiology, Pain Medicine
207Q00000X Family Medicine
207RC0000X Internal Medicine, Cardiovascular Disease
207RC0200X Internal Medicine, Critical Care Medicine
207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism
207RG0100X Internal Medicine, Gastroenterology
207RH0003X Internal Medicine, Hematology & Oncology
207RI0200X Internal Medicine, Infectious Disease
207RP1001X Internal Medicine, Pulmonary Disease
207RR0500X Internal Medicine, Rheumatology
207RS0012X Internal Medicine, Sleep Medicine
2080A0000X Pediatrics, Adolescent Medicine
208D00000X General Practice
363L00000X Nurse Practitioner
Enumeration Date2016-01-27
Last Update Date2016-01-27
Business Address
ALLEGIANCE MSO LLC
1719 BRUNSWICK AVE
LAWRENCEVILLE, NJ 08648-4665
Phone number: 609-337-7925
Mailing Address
ALLEGIANCE MSO LLC
40 FULD ST SUITE 201
TRENTON, NJ 08638-5247
Phone number: 609-695-4422