Individual
TIFFANY DE LEON-WURM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
355 GRAND ST, JERSEY CITY, NJ 07302-4321
(201) 915-2000
Mailing address
7 DUNSTABLE CT, MATAWAN, NJ 07747-6672
(732) 721-8067
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
2017000036
NJ
Other
Enumeration date
06/01/2017
Last updated
06/01/2017
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