Ayoub Pediatrics PA

Organization Active NPI Pediatrics Physician · Holmdel, NJ

NPI 1205914256 · NPPES record last updated Aug 22, 2020

Key facts

NPI
1205914256
Entity type
Organization (NPI type 2)
Primary specialty
Pediatrics Physician 208000000X
License
MA064916 (NJ)
Legal business name
AYOUB PEDIATRICS PA
Practice address
2080 State Highway #35
Holmdel, NJ 07733
Phone
(732) 671-0011
Fax
(732) 671-2564
NPI assigned
Nov 1, 2006
Organization subpart
No

Authorized official

Name
Dr. Samia B Ayoub, MD
Title
Director
Phone
(732) 671-0011

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician
Group: 193400000X SINGLE SPECIALTY GROUP
208000000X MA064916 NJ Yes

Addresses

Primary practice location

2080 State Highway #35
Holmdel, NJ 07733

Mailing address

2080 State Highway #35
Holmdel, NJ 07733
Phone (732) 671-0011

Other identifiers

IdentifierTypeStateIssuer
7386508MedicaidNJ

Other names

  • Samia Ayoub Other name

Other providers in Holmdel, NJ

All providers in Holmdel, NJ · Pediatrics Physician in New Jersey

Sources for this page

Verify at the official NPI Registry.