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Individual

DR. CHRIS TONYA PERNELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D., MPH

Contact information

Practice address
80 BERKELEY AVE, NEWARK, NJ 07104-1436
(973) 975-7663
Mailing address
80 BERKELEY AVE, NEWARK, NJ 07104-1436
(973) 975-7663

Taxonomy

Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary

Other

Enumeration date
03/26/2012
Last updated
03/26/2012
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