Individual
NANCYANN COLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
695 US HIGHWAY 46, FAIRFIELD, NJ 07004-1592
(973) 826-8291
Mailing address
657 PAULISON AVE, CLIFTON, NJ 07011-4127
(973) 900-2813
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00456400
NJ
Other
Enumeration date
02/12/2018
Last updated
02/12/2018
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