Individual
ELIZABETH SHEENA JOHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
170 CHANGEBRIDGE RD, MONTVILLE, NJ 07045-9115
(973) 884-3355
Mailing address
PO BOX 419430, BOSTON, MA 02241-9430
(201) 967-8221
(201) 483-2242
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
25MA11610500
NJ
Other
Enumeration date
08/12/2016
Last updated
04/06/2023
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