Individual
MS. ELIZA MAE TANGONAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APN-C, PMHNP-BC
Contact information
Practice address
100 WALNUT AVE STE 210, CLARK, NJ 07066-1269
(973) 620-2774
Mailing address
100 WALNUT AVE STE 210, CLARK, NJ 07066-1269
(973) 620-2774
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
26NJ00498900
NJ
Other
Enumeration date
05/19/2014
Last updated
06/01/2026
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