Individual
LOVE PHILIPPE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
280 CENTRAL AVE APT 405, ORANGE, NJ 07050-3414
(973) 666-6487
Mailing address
283 S CENTER ST APT 511, ORANGE, NJ 07050-3312
(973) 666-6487
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
26NR15835300
NJ
Other
Enumeration date
02/06/2019
Last updated
02/06/2019
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