Individual
EREKLE NINIASHVILI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
744 UNDERCLIFF AVE APT 2, EDGEWATER, NJ 07020-1453
(551) 202-9079
Mailing address
744 UNDERCLIFF AVE APT 2, EDGEWATER, NJ 07020-1453
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
3003674370
NJ
Other
Enumeration date
04/07/2026
Last updated
04/07/2026
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