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Individual

ELLEN NOUMI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
8 PURITAN RD, SHORT HILLS, NJ 07078-1414
(347) 635-9589
Mailing address
194 MARINE AVE, BROOKLYN, NY 11209-7706

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22DI02824000
NJ

Other

Enumeration date
01/27/2021
Last updated
01/27/2021
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