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Individual

NASHED G. BOTROS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
37 BRUNSWICK WOODS DR, EAST BRUNSWICK, NJ 08816-5601
(732) 967-9595
(732) 967-0711
Mailing address
37 BRUNSWICK WOODS DR, EAST BRUNSWICK, NJ 08816-5601
(732) 967-9595
(732) 967-0711

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA59776
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
6290205
NJ
Enumeration date
03/28/2007
Last updated
07/08/2007
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