Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207P00000X | Emergency Physician | 25MA09032000 | NJ |
NPI | 1003130006 |
---|---|
Provider Name | Dr. Andrew Joseph Youssouf |
First Address | Morristown, NJ 07960-6136 |
Second Address | Morristown, NJ 07960 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/03/2010 |
Last Update Date | 24/08/2018 |