Individual
CARLETTA J LINDIE-FOWLKES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
186 ROCHELLE AVE, 2ND FL, ROCHELLE PARK, NJ 07662-4122
(551) 996-1817
Mailing address
331 NEWMAN SPRINGS RD, BLDG 2, STE 220, RED BANK, NJ 07701-5688
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00105500
NJ
Other
Enumeration date
05/21/2007
Last updated
12/17/2024
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