Organization
ES MEDICAL SPA LLC
Active
Other names
SNM Medical Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
ELSA S OLAN NP (OWNER)
(201) 310-7614
Entity
Organization
Contact information
Practice address
2500 BRUNSWICK AVE STE 102, LAWRENCEVILLE, NJ 08648-4134
(201) 310-7614
Mailing address
2500 BRUNSWICK AVE STE 102, LAWRENCEVILLE, NJ 08648-4134
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
02/28/2022
Last updated
02/28/2022
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