Individual
ANZULE NAVARRETE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
163 BELLEVILLE AVE, BELLEVILLE, NJ 07109-2437
(973) 302-4644
Mailing address
10 SOUTHBORO LN, GLEN ROCK, NJ 07452-2721
(201) 686-0725
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
25MP00567800
NJ
363AM0700X
Medical Physician Assistant
Primary
25MP00567800
NJ
Other
Enumeration date
08/25/2020
Last updated
05/17/2022
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