Provider Demographics
NPI:1487728291
Name:LOULOU, MAJD (MD)
Entity type:Individual
Prefix:DR
First Name:MAJD
Middle Name:
Last Name:LOULOU
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:396 BROADWAY
Mailing Address - Street 2:MID HUDSON PHYSICIANS, PC
Mailing Address - City:KINGSTON
Mailing Address - State:NY
Mailing Address - Zip Code:12401-4626
Mailing Address - Country:US
Mailing Address - Phone:845-331-3131
Mailing Address - Fax:845-334-2898
Practice Address - Street 1:100 MEDICAL CENTER WAY FL 4
Practice Address - Street 2:
Practice Address - City:SOMERS POINT
Practice Address - State:NJ
Practice Address - Zip Code:08244-2300
Practice Address - Country:US
Practice Address - Phone:609-365-6200
Practice Address - Fax:609-926-4311
Is Sole Proprietor?:No
Enumeration Date:2006-11-20
Last Update Date:2021-09-24
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY242168207Q00000X
NJ25MA08542700207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02913133Medicaid
1487728291OtherNPI