Individual
MOAMENA ELMATBOULY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
201 LYONS AVE, NEWARK, NJ 07112-2027
(224) 436-8423
Mailing address
201 LYONS AVE, NEWARK, NJ 07112-2027
(224) 436-8423
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
25MA11951300
NJ
Other
Enumeration date
08/24/2023
Last updated
08/24/2023
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