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Individual

BRIDGET ANN ELLSWORTH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
65 BERGEN ST, NEWARK, NJ 07107-3001
(973) 972-9814
Mailing address
12 TRENTO ST, ISELIN, NJ 08830-1431
(732) 718-1121

Taxonomy

Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
26NO12385300
NJ

Other

Enumeration date
02/18/2007
Last updated
07/08/2007
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