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1255772562
LEELAMMA J MATHEW
EAST ORANGE, NJ
NPI
1255772562
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: NJ 26NJ00448400)
Enumeration Date
2013-07-15
Last Update Date
2014-04-28
Business Address
-- LEELAMMA J MATHEW APN
310 CENTRAL AVE 102
EAST ORANGE, NJ 07018-2835
Phone number: 973-395-1550
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Mailing Address
-- LEELAMMA J MATHEW APN
668 COLONIAL ARMS RD
UNION, NJ 07083-7608
Phone number: 908-688-4827
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