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1518713197
ETHAN BENJAMIN SHAMSIAN
NEWARK, NJ
NPI
1518713197
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2024-04-25
Last Update Date
2024-04-25
Business Address
ETHAN BENJAMIN SHAMSIAN DO
150 BERGEN ST
NEWARK, NJ 07103-2496
Phone number: 973-972-4300
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Mailing Address
ETHAN BENJAMIN SHAMSIAN DO
41 CUNNINGHAM DR
WEST ORANGE, NJ 07052-2243
Phone number:
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