Individual
MARY GOLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN, FNP-C
Contact information
Practice address
376 LAFAYETTE RD STE 101, SPARTA, NJ 07871-3560
(973) 383-9898
Mailing address
PO BOX 540, SUCCASUNNA, NJ 07876-0540
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26NJ01417300
NJ
Other
Enumeration date
01/27/2023
Last updated
05/15/2023
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