Individual
ETHAN BENJAMIN SHAMSIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
150 BERGEN ST, NEWARK, NJ 07103-2496
(973) 972-4300
Mailing address
41 CUNNINGHAM DR, WEST ORANGE, NJ 07052-2243
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/25/2024
Last updated
04/25/2024
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