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1891367645
BANOUB MICHAEL
EDISON, NJ
NPI
1891367645
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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
2021-07-12
Last Update Date
2021-07-12
Business Address
BANOUB MICHAEL MD
65 JAMES ST
EDISON, NJ 08820-3947
Phone number: 732-321-7487
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Mailing Address
BANOUB MICHAEL MD
300 STATION DR APT 316
AVENEL, NJ 07001-1794
Phone number: 201-201-9963
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