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Individual
MR. NISSIM MENASHY
Active
Individual
MR. NISSIM MENASHY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHYSICIAN ASSISTANT
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00251000
NJ
Other
Enumeration date
12/21/2010
Last updated
02/09/2015
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