Azam Soroush
MD | Pediatric Gastroenterology | Male
Azam Soroush, MD is a Neptune, New Jersey based Pediatric doctor with medical specialization in
Pediatric Gastroenterology.
Current practice location of Azam Soroush is
61 Davis Ave, Ste 1, Neptune, New Jersey - 07753-4401. He can be contacted on phone at
732-776-4860 and fax number 732-776-4867.
Azam Soroush is a sole proprietor of his business.
NPI number (Unique professional ID) for Azam Soroush is
1720057318 which was assigned by NPPES on 16 Mar, 2006 and it was last updated on 24 Jan, 2017.
Azam Soroush license number is
25MA06860600 for Pediatrics Pediatric Gastroenterology (2080P0206X) in New Jersey.
Azam Soroush specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs.
Complete Profile:
Azam Soroush basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Pediatric Gastroenterology |
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| Provider Name : | Azam Soroush |
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| Credential : | MD |
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| Gender : | Male |
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Business Address:
Azam Soroush address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 61 Davis Ave, Ste 1
Neptune, NJ, 07753-4401
United States |
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| Phone Number : | 732-776-4860 |
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| Fax Number : | 732-776-4867 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1720057318 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 16 Mar, 2006 |
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| Last Updated On : | 24 Jan, 2017 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Azam Soroush are as mentioned. Primary taxonomy code for Azam Soroush, MD is
2080P0206X (Pediatrics Pediatric Gastroenterology).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 2080P0206X | Pediatrics Pediatric Gastroenterology | Yes | 25MA06860600 | NJ |
Legacy Identifiers:
Other legacy medical identifiers of Azam Soroush such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
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| 7232306 | MEDICAID | NJ | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 61 Davis Ave, Ste 1
Neptune, NJ, 07753-4401
United States |
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| Phone Number : | 732-776-4860 |
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| Fax Number : | 732-776-4867 |
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Business Location:
Patients can refer following map for directions to
Azam Soroush practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.