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Contact Information

ANTONIOUS S FAWZY, DO
901 W MAIN ST
FREEHOLD TOWNSHIP, NJ07728-2549
 Phone: 732-431-2000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for ANTONIOUS S FAWZY · (Male)

NPI Number 1003346206
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 06/20/2017
Last updated 04/09/2024 - About 2 years ago
Sole proprietor 1 No
Identifiers
  • NJ License # 25MB10798400
  • NJ Medicaid 0732389
Hospital affiliation(s)
  • CENTRASTATE MEDICAL CENTER - (Acute Care)
    901 WEST MAIN STREET
    FREEHOLD, NJ 07728
  • JFK MEDICAL CTR - ANTHONY M. YELENCSICS COMMUNITY - (Acute Care)
    65 JAMES STREET
    EDISON, NJ 08818
  • OCEAN MEDICAL CENTER - (Acute Care)
    425 JACK MARTIN BLVD
    BRICK, NJ 08724
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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