Individual
MS. ELLA BROYTMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
24-12 FAIR LAWN AVE, FAIR LAWN, NJ 07410-3401
(201) 797-7500
Mailing address
26-31 WARREN RD APT D, FAIR LAWN, NJ 07410-3325
(917) 421-2863
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26NJ00944900
NJ
Other
Enumeration date
11/12/2019
Last updated
06/10/2021
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