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Individual

MS. BABICHE MICHELE SLACK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN, MS, APN-C

Contact information

Practice address
183 ROUTE 206 SOUTH, CHESTER, NJ 07930
(866) 389-2727
(612) 859-7101
Mailing address
PO BOX 375, STOCKHOLM, NJ 07460-0375
(973) 697-9269

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26NR0893590
NJ
363LF0000X
Family Nurse Practitioner
F331541-1
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8159700
NJ
Enumeration date
04/21/2006
Last updated
02/02/2009
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