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Individual

MR. PAUL MONTENEGRO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
NP

Contact information

Practice address
600 CLEMENTS BRIDGE ROAD, BARRINGTON, NJ 08007-1814
(856) 547-8000
(856) 547-8020
Mailing address
600 CLEMENTS BRIDGE ROAD, BARRINGTON, NJ 08007-1814
(856) 547-8000
(856) 547-8020

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
26NJ00011400
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
9013300
NJ
Enumeration date
07/05/2006
Last updated
06/19/2008
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