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Individual

SOOK K MCGRATH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
230 E RIDGEWOOD AVE BLDG 11-3, PARAMUS, NJ 07652-4142
(201) 967-4000
Mailing address
564 STATE RT 208, FRANKLIN LAKES, NJ 07417-2406
(201) 410-0565
(201) 445-3452

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
26NJ00072200
NJ
363LP2300X
Primary Care Nurse Practitioner
F300165
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1538320536
NATIONAL PROVIDER IDENTIFICATION
NY
01
26NJ00072200
CDS REGISTRATION
NJ
Enumeration date
06/23/2008
Last updated
04/03/2022
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