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Organization

STEPHANIE BECKER, ANP-C LLC

Active
Other names
BRANFORD MEDICAL CENTER
Organization subpart
No

Provider details

NPI number
Authorized official
MS. STEPHANIE R BECKER ANP-C (ADULT NURSE PRACTITIONER)
(973) 424-0080
Entity
Organization

Contact information

Practice address
23 BRANFORD PLACE, NEWARK, NJ 07102-2711
(973) 424-0080
(973) 424-0088
Mailing address
23 BRANFORD PLACE, NEWARK, NJ 07102-2711
(973) 424-0080
(973) 424-0088

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
25NJ00311200
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0274445
NJ
Enumeration date
09/02/2011
Last updated
10/25/2011
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