MITAEC SUH

WAYNE, NJ
NPI1508813353
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP2300X Nurse Practitioner, Primary Care
(Licence: NJ  26NJ00038400)
Enumeration Date2006-05-27
Last Update Date2007-07-08
Business Address
-- MITAEC SUH NP
20 POINT VIEW PKWY
WAYNE, NJ 07470-2057
Phone number: 973-628-8500
Mailing Address
-- MITAEC SUH NP
33 LENOX AVE
CLIFTON, NJ 07012-1818
Phone number: 973-779-5478
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