Individual
MRS. SHIRA WURZBURGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
103 TUDOR CT, LAKEWOOD, NJ 08701-1472
(845) 641-3463
Mailing address
103 TUDOR CT, LAKEWOOD, NJ 08701-1472
(845) 641-3463
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26NJ01264900
NJ
Other
Enumeration date
02/08/2022
Last updated
02/08/2022
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