Individual
MRS. LOVELY PHILIP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN,C
Contact information
Practice address
150 BERGEN ST, CCL I-128, NEWARK, NJ 07103-2496
(973) 972-9090
(973) 972-7414
Mailing address
150 BERGEN ST, CCL I-128, NEWARK, NJ 07103-2496
(973) 972-9090
(973) 972-7414
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
26NJ00264800
NJ
Other
Enumeration date
11/24/2009
Last updated
11/24/2009
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