Individual
MARY HAREWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
150 BERGEN STREET, NEWARK, NJ 07108
(973) 972-2929
Mailing address
150 BERGEN STREET, NEWARK, NJ 07108
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
26NJ00493900
NJ
Other
Enumeration date
12/23/2014
Last updated
12/24/2014
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