Provider Demographics
NPI:1073666129
Name:DESOKY, NAWAL M (MD)
Entity Type:Individual
Prefix:DR
First Name:NAWAL
Middle Name:M
Last Name:DESOKY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2411 HAMBURG TPKE
Mailing Address - Street 2:
Mailing Address - City:WAYNE
Mailing Address - State:NJ
Mailing Address - Zip Code:07470-6225
Mailing Address - Country:US
Mailing Address - Phone:973-839-7575
Mailing Address - Fax:973-839-7505
Practice Address - Street 1:2411 HAMBURG TPKE
Practice Address - Street 2:
Practice Address - City:WAYNE
Practice Address - State:NJ
Practice Address - Zip Code:07470-6225
Practice Address - Country:US
Practice Address - Phone:973-839-7575
Practice Address - Fax:973-839-7505
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJ25MA02830800207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology