Individual
KEYLI PANDURO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
201 LYONS AVE, NEWARK, NJ 07112-2027
(973) 926-7000
Mailing address
47 MONTCLAIR AVE, CLIFTON, NJ 07011-2822
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
26NJ15323300
NJ
Other
Enumeration date
09/02/2025
Last updated
09/02/2025
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