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1164594735
ELLEN M BLACK
BAYONNE, NJ
NPI
1164594735
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
207R00000X Internal Medicine
(Licence: NJ MA043128)
Enumeration Date
2006-11-15
Last Update Date
2007-07-08
Business Address
Dr. ELLEN M BLACK M.D.
273 AVENUE A
BAYONNE, NJ 07002-1367
Phone number: 201-858-0800
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Mailing Address
Dr. ELLEN M BLACK M.D.
273 AVENUE A
BAYONNE, NJ 07002-1367
Phone number: 201-858-0800
Copy
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