Individual
CLINTON ALEXANDER EWING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
65 JAMES ST, EDISON, NJ 08820-3947
(732) 321-7680
(732) 321-7008
Mailing address
65 JAMES ST, EDISON, NJ 08820-3947
(732) 321-7680
(732) 321-7008
Taxonomy
Speciality
Code
Description
License number
State
207ZC0500X
Cytopathology Physician
25MA07523100
NJ
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
25MA07523100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0003018
—
NJ
Enumeration date
06/13/2006
Last updated
11/23/2011
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