KATHLEEN MARY PRENDERGAST

MONTCLAIR, NJ
NPI1669498846
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner Psychiatric/Mental Health
(Licence: NJ  26NJ00108400)
Enumeration Date2006-07-14
Last Update Date2007-07-08
Business Address
KATHLEEN MARY PRENDERGAST APN
60 S FULLERTON AVE STE 210
MONTCLAIR, NJ 07042-2663
Phone number: 973-744-6522
Mailing Address
KATHLEEN MARY PRENDERGAST APN
47 WASHBURN PL
CALDWELL, NJ 07006-5917
Phone number: 973-228-1740
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