Individual provider · Type 1 NPI

Shady Raafat Barsoom, MD

Student in an Organized Health Care Education/Training Program · Hackensack, NJ

NPI number 1760284657 Active

Practice location

20 Prospect Ave
Hackensack, NJ 07601-1997

Call (551) 996-3942 Map

Mailing address

103 Dewitt Ave
Belleville, NJ 07109-2500

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1760284657

Shady Raafat Barsoom, MD's National Provider Identifier is 1760284657, issued on Mar 24, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Hackensack, NJ. The record was last updated on Mar 24, 2025.