Individual
REBECCA MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
92 2ND ST, HACKENSACK, NJ 07601-2191
(551) 996-3033
Mailing address
133 HARCOURT AVE, BERGENFIELD, NJ 07621-1952
(201) 637-0905
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
26NJ14864500
NJ
Other
Enumeration date
10/13/2023
Last updated
10/13/2023
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