Individual
AILEEN MCCARTHY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
300 2ND AVE, LONG BRANCH, NJ 07740-6303
(732) 222-5200
Mailing address
300 2ND AVE, LONG BRANCH, NJ 07740-6303
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
26NR18413200
NJ
163W00000X
Registered Nurse
701424
NY
363LF0000X
Family Nurse Practitioner
Primary
26NJ00713100
NJ
Other
Enumeration date
07/16/2016
Last updated
03/05/2017
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