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Individual

MRS. VASHTI ETWARU

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
649 MORRIS AVE, SPRINGFIELD, NJ 07081-1526
(973) 795-7955
Mailing address
22 CROWN VIEW CT, SPARTA, NJ 07871-3569
(516) 343-5339

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
013232
NY

Other

Enumeration date
08/18/2009
Last updated
07/10/2023
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