Organization · NPI-2

20 Clair Street

Clinical Nurse Specialist, Adult Health · Clifton, NJ

NPI number1447695044
StatusActive
Last updated in NPPESMay 8, 2013

Details

NPI
1447695044
Entity type
Organization (NPI-2)
Legal business name
20 Clair Street
Organization subpart
No
Enumeration date
May 8, 2013
Last updated
May 8, 2013

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
364SA2200X Clinical Nurse Specialist, Adult Health26NJ00431900NJYes

Practice location

20 Clair St
Clifton, NJ 07013-2618

Phone 973-473-3163

Mailing address

20 Clair St
Clifton, NJ 07013-2618

Phone 973-473-3163

Authorized official

Darshanabahen Jayeshkumar Mistry
NP
9734733163

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