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1043231574
ED NELVYN LEZETTE EVANS
HACKENSACK, NJ
NPI
1043231574
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
207RG0300X Internal Medicine, Geriatric Medicine
(Licence: NJ 25MA0369700)
Enumeration Date
2006-07-21
Last Update Date
2007-07-08
Business Address
Ms. ED NELVYN LEZETTE EVANS MD
385 PROSPECT AVE BERGEN CBOC-DVA
HACKENSACK, NJ 07601-2570
Phone number: 201-342-4536
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Mailing Address
Ms. ED NELVYN LEZETTE EVANS MD
1735 VAN CORTLAND TER
TEANECK, NJ 07666-6234
Phone number: 201-342-4536
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