Individual
ARABIA DIVINE MOLLETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
201 LYONS AVE, NEWARK, NJ 07112-2027
(973) 926-6671
Mailing address
760 BROADWAY, DEPARTMENT OF MANAGED CARE, ROOM 2B-230, BROOKLYN, NY 11206-5317
(718) 630-3020
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
281186-1
NY
Other
Enumeration date
02/19/2013
Last updated
04/03/2017
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