Doctor Name: | SULMEET AARON EZEKIEL |
NPI Number: | 1174901235 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | APN |
License Number: | 26NJ00550300 |
Business Practice Address: | 96 Millburn Ave Millburn, NJ - 070411944 |
Business Phone Number: | 9737636800 |
Business Fax Number: | |
Mailing Address: | 36 Chatsworth Rd, MANALAPAN |
State: | NJ |
Postal Code: | 077264185 |
Phone Number: | 7328514875 |
Fax Number: | |
NPI Enumeration Date: | 05/11/2015 |
NPI Last Update Date: | 08/17/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 26NJ00550300 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |