Individual
PALINA ANTONOVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
714 10TH ST, SECAUCUS, NJ 07094-2921
(201) 870-6099
(201) 870-6098
Mailing address
714 10TH ST, SECAUCUS, NJ 07094-2921
(201) 870-6100
(201) 870-6101
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26NJ00515100
NJ
Other
Enumeration date
08/14/2014
Last updated
05/20/2016
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