Individual
HEINNY SEVERINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
255 W SPRING VALLEY AVE STE 101, MAYWOOD, NJ 07607-1444
(201) 487-8866
(201) 487-2602
Mailing address
1 DIAMOND HILL RD, BERKELEY HEIGHTS, NJ 07922-2104
(908) 273-4300
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
26NR1329920
NJ
363LA2200X
Adult Health Nurse Practitioner
AG0516012
NJ
Other
Enumeration date
06/08/2016
Last updated
03/07/2022
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