GLEN MARTIN EWING

NEWARK, NJ
NPI1538306345
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: NJ  26no11090200)
Enumeration Date2009-01-15
Last Update Date2009-01-15
Business Address
Mr. GLEN MARTIN EWING GRNA
150 BERGEN ST RM#E-245
NEWARK, NJ 07103-2496
Phone number: 973-972-7867
Mailing Address
Mr. GLEN MARTIN EWING GRNA
1701 S CENTRAL AVE
SOUTH PLAINFIELD, NJ 07080-3601
Phone number: 908-963-6192
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