Individual
MICHELLE FUENTES LOMOTAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
225 MAY ST, EDISON, NJ 08837-3266
(732) 661-2020
Mailing address
225 MAY ST STE E, EDISON, NJ 08837-3266
(732) 661-2020
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA10872400
NJ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/26/2017
Last updated
09/02/2020
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