Individual
MS. ROSE MARIE JEREMIAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
22-18 BROADWAY STE 201, FAIR LAWN, NJ 07410-3016
(201) 475-5050
(201) 475-5522
Mailing address
159 FRANKLIN AVE, MAPLEWOOD, NJ 07040-3201
(973) 876-6781
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
26NJ01194300
NJ
Other
Enumeration date
12/07/2023
Last updated
12/07/2023
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