Individual
LOVELY THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
345 EDGERTON BLVD APT 101, AVENEL, NJ 07001-2246
(929) 462-7723
Mailing address
345 EDGERTON BLVD APT 101, AVENEL, NJ 07001-2246
(929) 462-7723
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
26NR21941400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CHB981333300
—
NJ
Enumeration date
01/07/2021
Last updated
01/07/2021
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