Botros, Youssef
Botros, Youssef is an individual health care provider with primary practice located at 22-02 Broadway Ste 301 , Fair Lawn NJ 07410-3016. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Botros, Youssef can be contacted via phone (201) 414-5732.Contact Information
Primary practice address
22-02 Broadway Ste 301
Fair Lawn NJ 07410-3016
Phone: (201) 414-5732
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 25MA10006700 | New Jersey |
Profile Details
| NPI number | 1487068094 |
|---|---|
| LBN Legal business name | Botros, Youssef |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 12th, 2014 |
| Last updated | Dec 26th, 2023 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1487068094 | NPPES |
| New Jersey | MEDICAID | 0778460 |
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