Provider Demographics
NPI:1841508157
Name:ARNOUS, NIDAL (MD)
Entity type:Individual
Prefix:
First Name:NIDAL
Middle Name:
Last Name:ARNOUS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:310 WOODSTOWN RD
Mailing Address - Street 2:
Mailing Address - City:MANNINGTON TOWNSHIP
Mailing Address - State:NJ
Mailing Address - Zip Code:08079
Mailing Address - Country:US
Mailing Address - Phone:856-935-1000
Mailing Address - Fax:856-935-9659
Practice Address - Street 1:310 WOODSTOWN RD
Practice Address - Street 2:
Practice Address - City:MANNINGTON TOWNSHIP
Practice Address - State:NJ
Practice Address - Zip Code:08079
Practice Address - Country:US
Practice Address - Phone:856-935-1000
Practice Address - Fax:856-935-9659
Is Sole Proprietor?:No
Enumeration Date:2010-09-21
Last Update Date:2014-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEC1-0010477207R00000X
NJ25MA09335400207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine