MS. Elena L Wickstrom, MD

NPI #1003497470 in Newark, New Jersey

Provider Information

NPI Number: 1003497470
Entity Type: Individual
Name: MS. Elena L Wickstrom, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Credential: MD
Enumeration Date: Apr 17, 2021
Last Updated: Mar 28, 2022

Practice Location

Address: 185 S ORANGE AVE
City: Newark
State: New Jersey
ZIP Code: 07103-2757
Phone: (732) 445-4636

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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