Most Relevant Information
Provider Data
| NPI Number: | 1003644329 |
| Provider Name: | ASHWIN NELLIPARAMBIL JITHEESH |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 07/26/2024 |
| Last Updated: | 07/27/2024 |
Provider Practice Location
350 BOULEVARD
ST. MARY'S HOSPITAL MEMORIAL BUILDING, ROOM 416
PASSAIC
NJ
070552840
Practice Location Phone/Fax
| Phone: | 4045033936 |
| Fax: |
Provider Mailing Location
350 BOULEVARD
ST. MARY'S HOSPITAL MEMORIAL BUILDING, ROOM 416
PASSAIC
NJ
070552840
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |