Individual
ADA BLIVEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
125 PATERSON ST, SUITE # 6129, NEW BRUNSWICK, NJ 08901-1962
(732) 235-7005
(732) 235-8149
Mailing address
28 HOLLANDER ST, SOUTH RIVER, NJ 08882-1102
(732) 238-2492
(732) 235-8149
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
26NJ00115400
NJ
Other
Enumeration date
01/23/2007
Last updated
07/08/2007
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