Individual
SIMONE SEBBAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
34 MAIN ST, HOLMDEL, NJ 07733-2106
(732) 320-9196
Mailing address
34 MAIN ST, HOLMDEL, NJ 07733-2106
(732) 320-9196
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00546700
NJ
Other
Enumeration date
10/27/2019
Last updated
05/15/2020
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