Provider Demographics
NPI:1649236027
Name:YOUSSEF-BESSLER, MANAL F (MD)
Entity Type:Individual
Prefix:
First Name:MANAL
Middle Name:F
Last Name:YOUSSEF-BESSLER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 273
Mailing Address - Street 2:
Mailing Address - City:WHIPPANY
Mailing Address - State:NJ
Mailing Address - Zip Code:07981-0273
Mailing Address - Country:US
Mailing Address - Phone:973-535-8355
Mailing Address - Fax:973-535-8353
Practice Address - Street 1:568 ROUTE 10 W
Practice Address - Street 2:
Practice Address - City:WHIPPANY
Practice Address - State:NJ
Practice Address - Zip Code:07981-1516
Practice Address - Country:US
Practice Address - Phone:973-535-8355
Practice Address - Fax:973-535-8353
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-25
Last Update Date:2019-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MAO7758200207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ099767COLMedicare ID - Type Unspecified
NJI51067Medicare UPIN