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Organization
DR WENDY KING, LLC
Active
Organization
DR WENDY KING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWINA SKIBA-KING APRN, PHD (SOLE MEMBER)
(732) 322-5769
Entity
Organization
Contact information
Practice address
53 KOSSUTH ST, FIRST FLOOR, SOMERSET, NJ 08873-2660
(732) 322-5769
(732) 565-9225
Mailing address
53 KOSSUTH ST, FIRST FLOOR, SOMERSET, NJ 08873-2660
(732) 322-5769
(732) 565-9225
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
26NC04861500
NJ
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
26NC04861500
NJ
Other
Enumeration date
12/22/2009
Last updated
12/22/2009
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