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Individual

PAMELA QUIRK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP - ADULT-GERO

Contact information

Practice address
21 MAIN AVE, OCEAN GROVE, NJ 07756-1669
(732) 776-5458
(732) 776-7065
Mailing address
21 MAIN AVE, OCEAN GROVE, NJ 07756-1669
(732) 776-5458
(732) 776-7065

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
26NJ00607500
NJ
363LG0600X
Gerontology Nurse Practitioner
26NJ00607500
NJ

Other

Enumeration date
01/16/2016
Last updated
01/16/2016
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