Organization
NEWARK BETH ISRAEL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EBONNI SHAW (PEDIATRIC RESIDENCY COORDINATOR)
(973) 926-2676
Entity
Organization
Contact information
Practice address
201 LYONS AVE, NEWARK, NJ 07112-2027
(973) 926-7000
Mailing address
201 LYONS AVE, OFFICE OF GRADUATE MEDICAL EDUCATION - EBONNIE SHAW, NEWARK, NJ 07112-2027
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
03/29/2024
Last updated
03/29/2024
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