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1912029281
BEENA MATHEW
EAST ORANGE, NJ
NPI
1912029281
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Former Name
BEENA T JACOB
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP2300X Nurse Practitioner, Primary Care
(Licence: NJ 26nj00124400)
Enumeration Date
2007-04-06
Last Update Date
2020-07-27
Business Address
Mrs. BEENA MATHEW APN
60 EVERGREEN PLACE SUITE 400
EAST ORANGE, NJ 07018
Phone number: 973-395-1550
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Mailing Address
Mrs. BEENA MATHEW APN
21 EDGEWOOD ROAD
SUMMIT, NJ 07901
Phone number: 973-395-1550
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