Individual
ROWENA SAFRONOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
16 DEVONSHIRE DR, PRINCETON, NJ 08540-6296
(609) 575-6254
Mailing address
16 DEVONSHIRE DR, PRINCETON, NJ 08540-6296
(609) 575-6254
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
26NJ01194700
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
S01286730056702
DRIVERS LICENSE
NJ
Enumeration date
09/30/2021
Last updated
09/30/2021
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