Individual
ALYSSA WALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
140 PARK AVE, FLORHAM PARK, NJ 07932-1049
(973) 718-5775
(973) 314-8931
Mailing address
1 DIAMOND HILL RD, BERKELEY HEIGHTS, NJ 07922-2104
Taxonomy
Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
26NJ00653400
NJ
Other
Enumeration date
08/28/2016
Last updated
05/25/2022
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