CAROL ISRAEL MCKISSOCK

NEW PROVIDENCE, NJ
NPI1437195716
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LA2200X Nurse Practitioner, Adult Health
(Licence: NJ  26NN07841400)
Enumeration Date2006-06-22
Last Update Date2010-02-19
Business Address
-- CAROL ISRAEL MCKISSOCK APN
571 CENTRAL AVE
NEW PROVIDENCE, NJ 07974-1547
Phone number: 908-464-7300
Mailing Address
-- CAROL ISRAEL MCKISSOCK APN
571 CENTRAL AVE
NEW PROVIDENCE, NJ 07974-1547
Phone number: 908-464-7300