Individual
MRS. SHIBY ANTONY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
150 BERGEN ST, NEWARK, NJ 07103-2496
(973) 372-5123
Mailing address
150 BERGEN ST, NEWARK, NJ 07103-2496
(201) 920-9485
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26NJ01131900
NJ
Other
Enumeration date
06/11/2021
Last updated
03/18/2022
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