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Amish Butala
Student in an Organized Health Care Education/Training Program in Newark, New Jersey
NPI 1952758633

Amish Butala is a Student in an Organized Health Care Education/Training Program based in Edison, NJ. Amish Butala practices in Newark, NJ. The NPI Number for Amish Butala is 1952758633 and holds a License No. (New Jersey).

The current practice location address for Amish Butala is 110 Bergen St, Newark, NJ and can be reached out via phone at 973-972-4242.

Location: 110 Bergen St, Newark, NJ, 08820-4433
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1952758633
Provider Name
Amish Butala
Credential
Provider Entity Type
Individual
Gender
Male
Address
110 Bergen St, Newark, NJ, 08820-4433
Phone Number
973-972-4242
Fax Number
Provider Enumeration Date
05/23/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
110 Bergen St
City
Newark
State
New Jersey
Zip
07103-2495
Phone Number
973-972-4242
Fax Number
person
Provider Business Mailing Address Details
Address
110 Bergen St
City
Newark
State
New Jersey
Zip
07103-2495
Phone Number
973-972-4242
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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