Individual
DOROTHY LOIS MCKEON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APN-C
Contact information
Practice address
1 BAY AVE, MOUNTAINSIDE HOSPITAL, MONTCLAIR, NJ 07042
(973) 429-6000
(973) 680-7736
Mailing address
744 UPPER WAY, WHARTON, NJ 07885
(973) 537-6670
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
26NN04036200
NJ
Other
Enumeration date
10/25/2006
Last updated
07/08/2007
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