Healthcare Provider Details

I. General information

NPI: 1811376734
Provider Name (Legal Business Name): AREF DAOUK M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/26/2015
Last Update Date: 04/26/2024
Certification Date: 04/26/2024
Deactivation Date: 01/14/2016
Reactivation Date: 06/14/2016

III. Provider practice location address

593 CRANBURY RD STE 1A
EAST BRUNSWICK NJ
08816-4093
US

IV. Provider business mailing address

593 CRANBURY RD STE 1A
EAST BRUNSWICK NJ
08816-4093
US

V. Phone/Fax

Practice location:
  • Phone: 732-613-8880
  • Fax:
Mailing address:
  • Phone: 732-613-8880
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number25MA11312300
License Number StateNJ
# 2
Primary TaxonomyN
Taxonomy Code207RC0200X
TaxonomyCritical Care Medicine (Internal Medicine) Physician
License Number25MA11312300
License Number StateNJ
# 3
Primary TaxonomyN
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License Number25MA11312300
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: