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NPI Code Detail

MEDICARE: SABAA AMJAD ALNSOUR MD

MEDICARE:   SABAA AMJAD ALNSOUR  MD
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
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1225980477
Entity Type Code : Individual
Provider Name (Legal Business Name) : SABAA AMJAD ALNSOUR MD
Provider Business Mailing Address
First Line : 165 WILLIAMS DR
Second Line :
City : WOODLAND PARK
State : NJ
Zip : 07424-2964
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 800 WASHINGTON ST
Second Line :
City : BOSTON
State : MA
Zip : 02111-1552
Country : US
Telephone Number : 617-636-5000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/11/2026
Last Update Date : 02/11/2026

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Directions to “ SABAA AMJAD ALNSOUR MD” Practice Location

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