Most Relevant Information
Provider Data
| NPI Number: | 1003493719 |
| Provider Name: | ANTOINE MANSOURATI MD |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 03/27/2021 |
| Last Updated: | 06/24/2024 |
Provider Practice Location
703 MAIN ST
PATERSON
NJ
075032621
Practice Location Phone/Fax
| Phone: | 9737542000 |
| Fax: |
Provider Mailing Location
703 MAIN ST
PATERSON
NJ
075032621
Provider Mailing Phone/Fax
| Phone: | 9737542000 |
| Fax: |