Individual
HELENA GVILI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
30 BERGEN ST, ADMC11 RM 1110, NEWARK, NJ 07107-3000
(973) 972-9261
Mailing address
30 BERGEN ST, ADMC11 RM 1110, NEWARK, NJ 07107-3000
(973) 972-9261
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/13/2016
Last updated
04/13/2016
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