Individual
MRS. SHANNON WITKOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
581 MAIN ST, WOODBRIDGE, NJ 07095-1148
(732) 978-6010
Mailing address
581 MAIN ST, WOODBRIDGE, NJ 07095-1148
(732) 978-6010
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26NJ00399800
NJ
Other
Enumeration date
01/29/2013
Last updated
07/21/2022
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