Individual
MRS. PUSHPAM MARY WILLIAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
719 ROUTE 22 W, NORTH PLAINFIELD, NJ 07060-4924
(908) 561-4300
Mailing address
111 DELMONICO AVE, SOMERSET, NJ 08873-3410
(973) 704-5202
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
26NJ00324000
NJ
Other
Enumeration date
11/19/2013
Last updated
11/19/2013
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