Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Azam Soroush, MD

Individual provider Pediatric Gastroenterology Physician · NPI 1720057318

Azam Soroush, MD is a Pediatric Gastroenterology Physician in Neptune, New Jersey. Licensed in New Jersey. Registered with an NPI since 2006.

Licensed in
NJ
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

61 Davis Ave Ste 1
Neptune, NJ 07753-4401
Phone: (732) 776-4860
Fax: (732) 776-4867
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Gastroenterology Physician (primary) Taxonomy 2080P0206X · Licence 25MA06860600 (NJ)

Record details

NPI number1720057318
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 16, 2006
Last updated in NPPESJanuary 24, 2017
Mailing address61 Davis Ave, Ste 1, Neptune, NJ 07753-4401

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