Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208800000X | Urologist | MA37047 | NJ |
NPI | 1003977968 |
---|---|
Provider Name | Dr. Zoubir Akrout |
First Address | Salem, NJ 08079-2053 |
Second Address | Salem, NJ 08079-2053 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/12/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
3083107 | (05) | NJ |
C53297 | (02) | NJ |