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Individual

PET-A-GAY FOX

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
118 HICKORY AVE, BERGENFIELD, NJ 07621-1815
(201) 674-2544
Mailing address
118 HICKORY AVE, BERGENFIELD, NJ 07621-1815
(201) 674-2544

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
898038
NY
163WH0200X
Home Health Registered Nurse
898038
NY

Other

Enumeration date
04/27/2026
Last updated
04/27/2026
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