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Individual
DR. S. ELENA GIMENEZ
Active
Individual
DR. S. ELENA GIMENEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
25MA08908300
NJ
208800000X
Urology Physician
Primary
4301102635
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
228676ZASE
MEDICARE ID
NJ
Enumeration date
05/21/2008
Last updated
01/11/2016
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