Individual
MISTRAL G JOSEPH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APN
Contact information
Practice address
29 JOHNSON RD, WEST ORANGE, NJ 07052-3554
(908) 416-0365
Mailing address
29 JOHNSON RD, WEST ORANGE, NJ 07052-3554
(908) 416-0365
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
26NR15076300
NJ
363LG0600X
Gerontology Nurse Practitioner
Primary
26NJ01089400
NJ
Other
Enumeration date
11/15/2020
Last updated
08/15/2023
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