Individual
MR. ERIC EDWARD WHITEHEAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APN, MSN, RN
Contact information
Practice address
225 BRIGHTON RD, ANDOVER, NJ 07821-5033
(201) 841-9085
Mailing address
225 BRIGHTON RD, ANDOVER, NJ 07821-5033
(201) 841-9085
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F402785-01
NY
Other
Enumeration date
09/05/2019
Last updated
09/05/2019
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