Individual
PATRICIA M ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
157 S HARRISON ST, EAST ORANGE, NJ 07018-1603
(862) 216-1629
Mailing address
157 S HARRISON ST, EAST ORANGE, NJ 07018-1603
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
643139
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
643139
—
NY
Enumeration date
12/28/2022
Last updated
12/28/2022
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