Provider Demographics
NPI:1205886710
Name:EL-SHIRBINY, AYDA M
Entity type:Individual
Prefix:
First Name:AYDA
Middle Name:M
Last Name:EL-SHIRBINY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:NEW JERSEY INSTITUTE OF RADIOLOGY
Mailing Address - Street 2:630 BROAD STREET
Mailing Address - City:CARLSTADT
Mailing Address - State:NJ
Mailing Address - Zip Code:07072-0468
Mailing Address - Country:US
Mailing Address - Phone:201-372-1020
Mailing Address - Fax:201-372-1028
Practice Address - Street 1:NEW JERSEY INSTITUTE OF RADIOLOGY
Practice Address - Street 2:630 BROAD STREET
Practice Address - City:CARLSTADT
Practice Address - State:NJ
Practice Address - Zip Code:07072-0468
Practice Address - Country:US
Practice Address - Phone:201-372-1020
Practice Address - Fax:201-372-1028
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA07977800207U00000X, 207UN0901X, 207UN0902X, 207UN0903X, 2085N0904X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered207U00000XAllopathic & Osteopathic PhysiciansNuclear Medicine
Not Answered207UN0901XAllopathic & Osteopathic PhysiciansNuclear MedicineNuclear Cardiology
Not Answered207UN0902XAllopathic & Osteopathic PhysiciansNuclear MedicineNuclear Imaging & Therapy
Not Answered207UN0903XAllopathic & Osteopathic PhysiciansNuclear MedicineIn Vivo & In Vitro Nuclear Medicine
Not Answered2085N0904XAllopathic & Osteopathic PhysiciansRadiologyNuclear Radiology