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1710960927
ELLEN LEVAN
FAIR LAWN, NJ
NPI
1710960927
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Former Name
YELENA ITSKHOKI
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
207R00000X Internal Medicine
(Licence: NJ 25MA07184800)
Enumeration Date
2005-11-22
Last Update Date
2012-10-24
Business Address
-- ELLEN LEVAN M.D.
26-01 PELLACK DRIVE 2ND FLOOR
FAIR LAWN, NJ 07410
Phone number: 201-791-9340
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Mailing Address
-- ELLEN LEVAN M.D.
26-01 PELLACK DRIVE 2ND FLOOR
FAIR LAWN, NJ 07410
Phone number: 201-791-9340
Copy
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