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1437195716
CAROL ISRAEL MCKISSOCK
NEW PROVIDENCE, NJ
NPI
1437195716
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: NJ 26NN07841400)
Enumeration Date
2006-06-22
Last Update Date
2010-02-19
Business Address
-- CAROL ISRAEL MCKISSOCK APN
571 CENTRAL AVE
NEW PROVIDENCE, NJ 07974-1547
Phone number: 908-464-7300
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Mailing Address
-- CAROL ISRAEL MCKISSOCK APN
571 CENTRAL AVE
NEW PROVIDENCE, NJ 07974-1547
Phone number: 908-464-7300
Copy
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