Individual
ALICE AGECHA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
RUTGERS BEHAVIORAL HEALTH CARE, 183 SOUTH ORANGE AVENUE, NEWARK, NJ 07103
(973) 972-5430
(973) 972-7173
Mailing address
RUTGERS BEHAVIORAL HEALTH CARE, 183 SOUTH ORANGE AVENUE, NEWARK, NJ 07103
(973) 972-5430
(973) 972-7173
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
26NJ00474300
NJ
Other
Enumeration date
12/11/2013
Last updated
08/06/2019
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