LEELAMMA J MATHEW

EAST ORANGE, NJ
NPI1255772562
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LA2200X Nurse Practitioner, Adult Health
(Licence: NJ  26NJ00448400)
Enumeration Date2013-07-15
Last Update Date2014-04-28
Business Address
-- LEELAMMA J MATHEW APN
310 CENTRAL AVE 102
EAST ORANGE, NJ 07018-2835
Phone number: 973-395-1550
Mailing Address
-- LEELAMMA J MATHEW APN
668 COLONIAL ARMS RD
UNION, NJ 07083-7608
Phone number: 908-688-4827
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