Facts
- Status
- A
- Credential
- R.N.
- Type
- Individual
- Enumeration date
- 2012-02-17
- Last updated
- 2012-02-17
Specialties
Licenses
- License NJ
- 26NR06371900
Location
- Practice location
- 151 SUMMIT AVENUE
- City
- SUMMIT NJ
- Postal code
- 07901
- Phone
- 908-377-1963
Medicare
- PECOS
- No PECOS enrollment row matched this NPI.
LEIE
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Nearby
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Removal request
Public data from NPPES and CMS. Not a credentialing determination.