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Individual

MR. DAVID WILKENSON NEWTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
ACNP

Contact information

Practice address
450 OCEAN AVE, JERSEY CITY, NJ 07305-3274
(201) 547-3550
(201) 547-8355
Mailing address
4 WESTMINSTER LN, JERSEY CITY, NJ 07305-1423
(818) 961-5023
(201) 547-8355

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
26NJ00436100
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2012020093
ACNP-BC
NJ
01
26NJ00436100
APN CERTIFICATE
NJ
01
P00523500
CDS REGISTRATION NUMBER
NJ
Enumeration date
12/04/2013
Last updated
09/16/2015
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