Individual
DR. ELLEN SOBERMAN NOVICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
225 STATE ROUTE 35, SUITE 208, RED BANK, NJ 07701-5919
(732) 380-0881
(732) 380-0886
Mailing address
6 FLORAL CT, WESTFIELD, NJ 07090-2607
(908) 233-2732
(908) 233-2320
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
MA50022
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7485808
—
NJ
Enumeration date
12/22/2006
Last updated
07/08/2007
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