Individual
JUSTYNA POTOCKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
1033 CLIFTON AVE, CLIFTON, NJ 07013-3517
(973) 473-4400
(973) 473-6822
Mailing address
1033 CLIFTON AVE, CLIFTON, NJ 07013-3517
(973) 473-4400
(973) 473-6822
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
26NJ00709500
NJ
363LG0600X
Gerontology Nurse Practitioner
26NJ00709500
NJ
363LP2300X
Primary Care Nurse Practitioner
26NJ00709500
NJ
Other
Enumeration date
03/02/2017
Last updated
03/02/2017
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