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1952758633
AMISH BUTALA
NEWARK, NJ
NPI
1952758633
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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
2016-05-23
Last Update Date
2016-05-23
Business Address
-- AMISH BUTALA
110 BERGEN ST
NEWARK, NJ 07103-2495
Phone number: 973-972-4242
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Mailing Address
-- AMISH BUTALA
54 LYLE PL
EDISON, NJ 08820-4433
Phone number: 908-705-0463
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