Individual
GEORGIANA HART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
58 FREEMAN ST, NEWARK, NJ 07105-4005
(973) 596-4190
(973) 639-6583
Mailing address
590 N 7TH ST, NEWARK, NJ 07107-2522
(973) 596-5101
(973) 482-1978
Taxonomy
Speciality
Code
Description
License number
State
364SA2200X
Adult Health Clinical Nurse Specialist
Primary
26NO06625800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
196925YPP
—
NJ
01
—
26NJ000070000
APN LICENSE
NJ
Enumeration date
08/23/2007
Last updated
08/07/2014
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