Individual
JAVICIA N PETERSON-COLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
101 OLD SHORT HILLS RD, SUITE 401, WEST ORANGE, NJ 07052-1000
(973) 322-6532
(973) 322-6418
Mailing address
101 OLD SHORT HILLS RD, SUITE 401, WEST ORANGE, NJ 07052-1000
(973) 322-6532
(973) 322-6418
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
26NJ00311500
NJ
Other
Enumeration date
07/06/2012
Last updated
02/05/2015
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