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Individual

MAE ENGLISH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
30 NEWPORT PKWY APT 2112, JERSEY CITY, NJ 07310-1512
(201) 892-4158
Mailing address
30 NEWPORT PKWY APT 2112, JERSEY CITY, NJ 07310-1512
(201) 892-4158

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
1125733
NY

Other

Enumeration date
03/19/2014
Last updated
03/19/2014
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