Individual provider · Type 1 NPI

Banoub Michael, MD

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

NPI number 1891367645 Active

Practice location

65 James St
Edison, NJ 08820-3947

Mailing address

300 Station Dr Apt 316
Avenel, NJ 07001-1794

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 1891367645

Banoub Michael, MD's National Provider Identifier is 1891367645, issued on Jul 12, 2021. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Edison, NJ. The record was last updated on Jul 12, 2021.