Individual
MOMNA AYUB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
111 STATE ROUTE 31, FLEMINGTON, NJ 08822-5795
(908) 284-9880
Mailing address
111 STATE ROUTE 31, FLEMINGTON, NJ 08822-5795
(908) 284-9880
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25MB12286400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
W245250456
AETNA
NJ
Enumeration date
04/30/2021
Last updated
12/10/2024
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