Individual
MARYANN COOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
303 ELM ST, PERTH AMBOY, NJ 08861-4015
(732) 442-9540
Mailing address
523 ALICE PL, WOODBRIDGE, NJ 07095-3407
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
26NJ00490100
NJ
Other
Enumeration date
06/16/2014
Last updated
06/16/2014
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