Individual
LOVE ROA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 ROBERT WOOD JOHNSON PL, NEW BRUNSWICK, NJ 08901-1928
(732) 828-3000
Mailing address
5 QUARRY PL, TINTON FALLS, NJ 07753-7515
(732) 759-4382
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00819100
NJ
Other
Enumeration date
06/23/2022
Last updated
10/16/2024
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