Individual
VANESSA PINARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
59 MAIN ST STE 207, WEST ORANGE, NJ 07052-5333
(862) 766-5363
(862) 766-5364
Mailing address
6210 BELCREST RD, APT 1218, HYATTSVILLE, MD 20782-2952
(561) 542-5385
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
25MA10845900
NJ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25MA10845900
PRIVATE INSURANCE
NJ
05
—
25MA10845900
—
NJ
Enumeration date
04/04/2016
Last updated
08/24/2021
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