Individual
MS. NATALI VICENTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
201 LYONS AVE, NEWARK, NJ 07112-2027
(973) 926-7000
Mailing address
3 CENTURY DR, PARSIPPANY, NJ 07054-4610
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00339300
NJ
Other
Enumeration date
07/07/2014
Last updated
07/07/2014
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