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Individual

ROBIN G MIDOUHAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APN

Contact information

Practice address
712 EAST BAY AVENUE, SUITE 21-C, MANAHAWKIN, NJ 08050
(609) 597-5327
(609) 756-4452
Mailing address
712 EAST BAY AVENUE, SUITE 21-C, MANAHAWKIN, NJ 08050
(609) 597-5327
(609) 756-4452

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
26NC05720000
NJ
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
26NC05720000
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7210604
NJ
Enumeration date
07/11/2006
Last updated
02/10/2020
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