Individual
MARY RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
236 E WESTFIELD AVE, ROSELLE PARK, NJ 07204-2084
(908) 620-1600
(908) 620-0220
Mailing address
236 E WESTFIELD AVE, ROSELLE PARK, NJ 07204-2084
(908) 620-1600
(908) 620-0220
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
26NO08212600
NJ
Other
Enumeration date
12/21/2005
Last updated
07/08/2007
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