Individual
KELLY DOWIAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
77 PARK AVE APT 903, HOBOKEN, NJ 07030-7111
(908) 414-0478
Mailing address
77 PARK AVE APT 903, HOBOKEN, NJ 07030-7111
(908) 414-0478
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26NJ01102900
NJ
363LF0000X
Family Nurse Practitioner
345706
NY
Other
Enumeration date
04/15/2021
Last updated
04/15/2021
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