Individual
MS. PATRICIA MARGARET PAVLAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
140 TINDALL ROAD, MIDDLETOWN, NJ 07748
(732) 671-0860
(732) 670-6467
Mailing address
PO BOX 8519, RED BANK, NJ 07701
(732) 460-9840
(732) 460-9848
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
26NJ00406400
NJ
363LA2200X
Adult Health Nurse Practitioner
Primary
F306290-1
NY
Other
Enumeration date
12/04/2012
Last updated
11/25/2014
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