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Individual

ELISHAMA DEMOSTHENES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2600 TILTON RD # 1089, EGG HARBOR TOWNSHIP, NJ 08234-1831
(609) 966-9322
Mailing address
2600 TILTON RD # 1089, EGG HARBOR TOWNSHIP, NJ 08234-1831
(609) 966-9322

Taxonomy

Speciality
Code
Description
License number
State
172A00000X
Driver
Primary

Other

Enumeration date
12/21/2024
Last updated
01/02/2025
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