Individual
DR. ELIZABETH AUGUST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
200 MAIN ST, RIDGEFIELD PARK, NJ 07660-1649
(201) 870-6099
(210) 870-6098
Mailing address
200 MAIN ST, RIDGEFIELD PARK, NJ 07660-1649
(201) 870-6099
(210) 870-6098
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25MA09197500
NJ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/25/2010
Last updated
10/06/2012
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