Individual
GRACE SHIBU VARGHESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
UNIVERSITY HOSPITAL, 150,BERGEN STREET,NEWARK, NJ 07103
(973) 972-6000
Mailing address
92 PRINCESS DR, NORTH BRUNSWICK, NJ 08902-4107
(973) 572-6198
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26NJ00840200
NJ
Other
Enumeration date
08/29/2018
Last updated
08/29/2018
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