Individual
DR. GERALDINE DUFORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
146 MANHATTAN AVE, APT 5, JERSEY CITY, NJ 07307-0730
(551) 556-5213
Mailing address
146 MANHATTAN AVE APT 5, JERSEY CITY, NJ 07307-3853
(551) 556-5213
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F34880901
NY
Other
Enumeration date
11/10/2021
Last updated
11/10/2021
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