Organization
ADVANCED PRACTICE PROVIDER GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. AUDREY MEYERS (PRESIDENT)
(201) 447-8000
Entity
Organization
Contact information
Practice address
15 ESSEX RD, PARAMUS, NJ 07652-1451
(201) 447-8000
(201) 291-6129
Mailing address
15 ESSEX RD, PARAMUS, NJ 07652-1451
(201) 447-8000
(201) 291-6129
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
09/10/2010
Last updated
09/10/2010
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