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Individual

ELENA V SELINA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
48 S NEW YORK RD STE B3, GALLOWAY, NJ 08205-9676
(609) 404-0121
(609) 404-0131
Mailing address
48 S NEW YORK RD STE B3, GALLOWAY, NJ 08205-9676
(609) 404-0121
(609) 404-0131

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA08815700
NJ

Other

Enumeration date
08/17/2010
Last updated
05/28/2015
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