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Individual

ETTA CONTEH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
250 MARLBORO RD, OLD BRIDGE, NJ 08857-1401
(732) 570-8555
Mailing address
250 MARLBORO RD, OLD BRIDGE, NJ 08857-1401
(732) 570-8555

Taxonomy

Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary

Other

Enumeration date
02/16/2019
Last updated
02/16/2019
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