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Organization
ROBERT MMEREOLE,LLC
Active
Organization
ROBERT MMEREOLE,LLC
Active
Other names
Mmereole Health
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PAULINA MMEREOLE M.S.N. (NURSE PRACTITIONER)
(714) 366-2581
Entity
Organization
Contact information
Practice address
6101 KENNEDY BLVD E, SUITE 1, WEST NEW YORK, NJ 07093-3902
(714) 366-2581
Mailing address
6101 KENNEDY BLVD E, WEST NEW YORK, NJ 07093-3902
(714) 366-2581
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25MA09692300
NJ
363LP0200X
Pediatric Nurse Practitioner
26NJ00504700
NJ
Other
Enumeration date
03/18/2017
Last updated
03/18/2017
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