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1669693958
TERESA NICOLE FOWLER
LIVINGSTON, NJ
NPI
1669693958
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NJ 25MP00029500)
Enumeration Date
2007-05-02
Last Update Date
2007-07-08
Business Address
Ms. TERESA NICOLE FOWLER PA C
94 OLD SHORT HILLS ROAD SAINT BARNABAS MEDICAL CENTER
LIVINGSTON, NJ 07039
Phone number: 973-322-5000
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Mailing Address
Ms. TERESA NICOLE FOWLER PA C
143 WEST 28TH STREET
BAYONNE, NJ 07002
Phone number: 201-339-4544
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