Individual
MARYJANE LINNEHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
275 HOBART ST, PERTH AMBOY, NJ 08861
(732) 376-9333
Mailing address
275 HOBART ST, PERTH AMBOY, NJ 08861-3396
(732) 376-9333
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
26NN09579700
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8932603
—
NJ
Enumeration date
07/16/2006
Last updated
05/30/2018
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