ALLEGIANCE HEALTH GROUP LLC

Provider Demographics

• NPI: 1801210513
• Name: ALLEGIANCE HEALTH GROUP LLC
• Entity Type: Organization
• Organization Name: ALLEGIANCE HEALTH GROUP LLC
• Authorized Official - Title/Position: PRESIDENT
• Authorized Official - Prefix: DR
• Authorized Official - First Name: ANASSE
• Authorized Official - Last Name: SOUIDI
• Authorized Official - Credentials: MD
• Authorized Official - Phone: 215-834-8693
• Mailing Address - Street 1: 40 FULD ST
• Mailing Address - Street 2: SUITE 305
• Mailing Address - City: TRENTON
• Mailing Address - State: NJ
• Mailing Address - Zip Code: 08638-5247
• Mailing Address - Country: US
• Mailing Address - Phone: 609-815-7773
• Mailing Address - Fax: 609-394-6328
• Practice Address - Street 1: 40 FULD ST
• Practice Address - Street 2: SUITE 305
• Practice Address - City: TRENTON
• Practice Address - State: NJ
• Practice Address - Zip Code: 08638-5247
• Practice Address - Country: US
• Practice Address - Phone: 609-815-7773
• Practice Address - Fax: 609-394-6328
• EIN: <UNAVAIL>
• Is Organization Subpart?: No
• Enumeration Date: 2014-02-17
• Last Update Date: 2015-07-22

Provider Taxonomies

Primary?	Code	Type	Classification	Specialization	Group
Yes	208D00000X	Allopathic & Osteopathic Physicians	General Practice		Group - Multi-Specialty
No	207LP2900X	Allopathic & Osteopathic Physicians	Anesthesiology	Pain Medicine	Group - Multi-Specialty
No	207Q00000X	Allopathic & Osteopathic Physicians	Family Medicine		Group - Multi-Specialty
No	207R00000X	Allopathic & Osteopathic Physicians	Internal Medicine		Group - Multi-Specialty
No	207RC0000X	Allopathic & Osteopathic Physicians	Internal Medicine	Cardiovascular Disease	Group - Multi-Specialty
No	207RC0200X	Allopathic & Osteopathic Physicians	Internal Medicine	Critical Care Medicine	Group - Multi-Specialty
No	207RE0101X	Allopathic & Osteopathic Physicians	Internal Medicine	Endocrinology, Diabetes & Metabolism	Group - Multi-Specialty
No	207RG0100X	Allopathic & Osteopathic Physicians	Internal Medicine	Gastroenterology	Group - Multi-Specialty
No	207RH0003X	Allopathic & Osteopathic Physicians	Internal Medicine	Hematology & Oncology	Group - Multi-Specialty
No	207RI0200X	Allopathic & Osteopathic Physicians	Internal Medicine	Infectious Disease	Group - Multi-Specialty
No	207RP1001X	Allopathic & Osteopathic Physicians	Internal Medicine	Pulmonary Disease	Group - Multi-Specialty
No	207RR0500X	Allopathic & Osteopathic Physicians	Internal Medicine	Rheumatology	Group - Multi-Specialty
No	207RS0012X	Allopathic & Osteopathic Physicians	Internal Medicine	Sleep Medicine	Group - Multi-Specialty
No	208000000X	Allopathic & Osteopathic Physicians	Pediatrics		Group - Multi-Specialty
No	291U00000X	Laboratories	Clinical Medical Laboratory		Group - Multi-Specialty