Individual
GANDIMATHI JEYABALAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1311 CLINTON LN, ROCKAWAY, NJ 07866-5823
(203) 970-9142
Mailing address
1311 CLINTON LN, ROCKAWAY, NJ 07866-5823
(203) 970-9142
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
26NJ15267300
NJ
Other
Enumeration date
06/12/2025
Last updated
06/12/2025
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