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Organization

NORTHFIELD ENT ASSOCIATES LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
PRIYA WAGLE MD (OWNER)
(609) 641-6644
Entity
Organization

Contact information

Practice address
2306 NEW RD, NORTHFIELD, NJ 08225-1407
(609) 641-6644
Mailing address
2306 NEW RD, NORTHFIELD, NJ 08225-1407
(609) 641-6644

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary

Other

Enumeration date
10/01/2018
Last updated
10/01/2018
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