Provider Demographics
NPI:1902225683
Name:GHUSSON, NOHA (MD)
Entity Type:Individual
Prefix:
First Name:NOHA
Middle Name:
Last Name:GHUSSON
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 1:16 GROVE AVE
Mailing Address - Street 2:
Mailing Address - City:CEDAR GROVE
Mailing Address - State:NJ
Mailing Address - Zip Code:07009-1452
Mailing Address - Country:US
Mailing Address - Phone:609-558-4569
Mailing Address - Fax:
Practice Address - Street 1:40 FULD ST STE 305
Practice Address - Street 2:
Practice Address - City:TRENTON
Practice Address - State:NJ
Practice Address - Zip Code:08638-5247
Practice Address - Country:US
Practice Address - Phone:609-394-6338
Practice Address - Fax:609-394-6328
Is Sole Proprietor?:No
Enumeration Date:2014-04-10
Last Update Date:2021-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA10208000207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease