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1699454157
SHATHA ELEMIAN
NEWARK, NJ
NPI
1699454157
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2023-07-12
Last Update Date
2023-07-12
Business Address
SHATHA ELEMIAN MD
254-270 ORANGE ST
NEWARK, NJ 07103-4499
Phone number: 862-395-1486
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Mailing Address
SHATHA ELEMIAN MD
111 CENTRAL AVE
NEWARK, NJ 07102-1909
Phone number:
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