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Organization

IPEDIATRICS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KRISTEN DEPUYT APN (PARTNER/CO-OWNER)
(973) 663-1143
Entity
Organization

Contact information

Practice address
21 BOWLING GREEN PKWY, SUITE 202, LAKE HOPATCONG, NJ 07849-3200
(973) 663-1143
Mailing address
21 BOWLING GREEN PKWY, SUITE 202, LAKE HOPATCONG, NJ 07849-3200
(973) 663-1143

Taxonomy

Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
Primary

Other

Enumeration date
11/15/2012
Last updated
11/15/2012
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