Most Relevant Information
Provider Data
| NPI Number: | 1003346206 |
| Provider Name: | ANTONIOUS SHERIF FAWZY DO |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 06/20/2017 |
| Last Updated: | 04/09/2024 |
Provider Practice Location
901 W MAIN ST
FREEHOLD
NJ
077282549
Practice Location Phone/Fax
| Phone: | 7324312000 |
| Fax: |
Provider Mailing Location
901 W MAIN ST
FREEHOLD
NJ
077282537
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |