Individual
CAROL ISRAEL MCKISSOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
571 CENTRAL AVE, NEW PROVIDENCE, NJ 07974-1547
(908) 464-7300
(908) 464-7350
Mailing address
571 CENTRAL AVE, NEW PROVIDENCE, NJ 07974-1547
(908) 464-7300
(908) 464-7350
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
26NN07841400
NJ
Other
Enumeration date
06/22/2006
Last updated
02/19/2010
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