Individual
MARIE SHERLY VICTORIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
65 ROYAL DR APT 224, PISCATAWAY, NJ 08854-3488
(908) 800-3974
Mailing address
459 PASSAIC AVE, WEST CALDWELL, NJ 07006-7457
(908) 800-3974
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26NJ14951000
NJ
Other
Enumeration date
11/14/2023
Last updated
11/05/2024
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