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1396337044
BELOVED KOFI MARTEY
PATERSON, NJ
NPI
1396337044
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: NJ 26NJ01071100)
Enumeration Date
2021-02-04
Last Update Date
2021-02-05
Business Address
BELOVED KOFI MARTEY APN
703 MAIN ST
PATERSON, NJ 07503-2621
Phone number: 973-754-2000
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Mailing Address
BELOVED KOFI MARTEY APN
39 SMITHFIELD DR
SPRINGFIELD, NJ 07081-2758
Phone number: 973-489-3255
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