Individual
PROF. LOVERTON FIDEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.A., M.S., M.B.A.
Contact information
Practice address
169 MAIN ST STE 2, MATAWAN, NJ 07747-4105
(732) 247-6263
Mailing address
1430 ROUTE 27, NORTH BRUNSWICK, NJ 08902-1538
(732) 247-6263
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
37AC00245600
NJ
Other
Enumeration date
12/24/2015
Last updated
12/24/2015
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