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Andrew Joseph Youssouf

Emergency Medicine

Allopathic & Osteopathic Physicians

100 Madison Ave, Emergency Department, Morristown, NJ 07960

PECOS Enrollment

This provider is enrolled in PECOS as ANDREW YOUSSOUF.

Based on the most recent information from CMS, provider Andrew Joseph Youssouf is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1003130006
Provider Type
Individual
Full Name
Youssouf, Andrew Joseph
Title
Dr.
Credential
M.D.

Gender
Male
Sole Proprietor
No
Enumeration Date
3/18/2010
Last Updated
8/24/2018

Contact Information

Practice Location

100 Madison Ave, Emergency Department, Morristown, NJ 07960

(973) 971-7926

Unlisted Fax

Mailing Location

100 Madison Ave, Box 8 Emergency Department, Morristown, NJ 07960-6136

(973) 971-7926

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 207P00000X Primary	Description Emergency Medicine Allopathic & Osteopathic Physicians	License 25MA09032000 New Jersey

Andrew Joseph Youssouf

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

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