Individual
MS. EILEEN M CORCORAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, APN,C
Contact information
Practice address
151 STATE ROUTE 10 E, SUITE 105, SUCCASUNNA, NJ 07876-1452
(973) 584-0002
Mailing address
909 MAPLE PATH, NEWTON, NJ 07860-4163
(973) 948-6859
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
26NN07350200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6630103
—
NJ
Enumeration date
02/12/2007
Last updated
07/08/2007
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