Individual
IGOR WATANABE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
1000 GALLOPING HILL RD, UNION, NJ 07083-7989
(908) 522-6300
Mailing address
377 ROOSEVELT LN, KENILWORTH, NJ 07033-1524
(978) 302-8684
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
26NR21906400
NJ
Other
Enumeration date
10/01/2024
Last updated
10/01/2024
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