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Individual

TONJA LEWIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
224 SUSSEX AVE FL 1, NEWARK, NJ 07103-2846
(856) 230-1104
Mailing address
100 WALNUT AVE STE 210, CLARK, NJ 07066-1269
(856) 230-1104

Taxonomy

Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
51061
NJ

Other

Enumeration date
09/22/2025
Last updated
09/22/2025
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