Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207U00000X | Nuclear Medicine Specialist | 25MA07977800 | NJ |
NPI | 1205886710 |
---|---|
Provider Name | Ayda M. El-Shirbiny |
First Address | Carlstadt, NJ 07072-0468 |
Second Address | Carlstadt, NJ 07072-0468 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/05/2006 |
Last Update Date | 08/07/2007 |