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NPI Code Detail

MEDICARE: ALI YOUSSEF

MEDICARE: ALI YOUSSEF
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist28RI04346600NJ

General Provider Information

NPI Number : 1144090929
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALI YOUSSEF
Provider Business Mailing Address
First Line : 4592 S BROAD ST
Second Line :
City : TRENTON
State : NJ
Zip : 08620-2204
Country : US
Telephone Number : 609-963-9009
Fax Number :
Provider Business Practice Location Address
First Line : NORTH COOPERSTOWN PLAZA, 4362 US-130 NORTH
Second Line :
City : WILLINGBORO
State : NJ
Zip : 08046
Country : US
Telephone Number : 609-386-9411
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/03/2024
Last Update Date : 01/03/2024

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Directions to “ ALI YOUSSEF ” Practice Location

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