MEDICARE: DR. DEBORAH DAOUD

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
1	390200000X	Student in an Organized Health Care Education/Training Program
2	207Q00000X	Family Medicine Physician	25MA12503100	NJ

General Provider Information

NPI Number	:	1770221749
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DEBORAH DAOUD

Provider Business Mailing Address
First Line	:	6 CRABTREE LN
Second Line	:
City	:	PARAMUS
State	:	NJ
Zip	:	07652-3743
Country	:	US
Telephone Number	:	201-960-5440
Fax Number	:

Provider Business Practice Location Address
First Line	:	150 BERGEN ST
Second Line	:
City	:	NEWARK
State	:	NJ
Zip	:	07103-2496
Country	:	US
Telephone Number	:	973-972-4300
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/20/2022
Last Update Date	:	06/02/2026

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Directions to “ DR. DEBORAH DAOUD ” Practice Location

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