Individual
PROF. LIILIE FAULK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
136 ELMORA AVE, SECOND FLOOR, ELIZABETH, NJ 07202-1148
(908) 289-3400
(908) 289-4333
Mailing address
136 ELMORA AVE, SECOND FLOOR, ELIZABETH, NJ 07202-1148
(908) 289-3400
(908) 289-4333
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
212913
NC
163W00000X
Registered Nurse
Primary
26NO09751400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0109215
—
NJ
05
—
7989008
—
NJ
Enumeration date
01/18/2007
Last updated
07/09/2007
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