Individual
DR. LORRAINE RAAGAS FORMANES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP, APN, CPNP
Contact information
Practice address
556 CENTRAL AVE, NEW PROVIDENCE, NJ 07974-1563
(908) 508-0400
Mailing address
556 CENTRAL AVE, NEW PROVIDENCE, NJ 07974-1563
(908) 508-0400
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
26NJ01199100
NJ
Other
Enumeration date
09/21/2021
Last updated
09/21/2021
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