| NPI | 1366262602 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEARY RO-HAN HINDS Provider 973-897-2969 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner Primary Care |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health |
| 363LG0600X Nurse Practitioner Gerontology | |
| Enumeration Date | 2024-10-11 |
| Last Update Date | 2024-10-11 |