Individual
SONYA L GOODRICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1200 CLINTON AVE, SUITE 140, IRVINGTON, NJ 07111-2070
(973) 374-1080
(973) 373-1726
Mailing address
1200 CLINTON AVE, SUITE 140, IRVINGTON, NJ 07111-2070
(973) 374-1080
(973) 373-1726
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
26NN09682500
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0500330
—
NJ
Enumeration date
05/17/2007
Last updated
04/05/2016
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