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Individual

MRS. JUDITH ANNE BARRY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
APN

Contact information

Practice address
94 OLD SHORT HILLS RD, EAST WING SUITE 401, LIVINGSTON, NJ 07039-5672
(973) 322-9704
(973) 322-8064
Mailing address
143 WATCHUNG PL, NUTLEY, NJ 07110-2030
(973) 284-0475

Taxonomy

Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
26NO04649700
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0065471
NJ
Enumeration date
07/07/2006
Last updated
07/08/2007
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