Individual
MS. GAIL ELIZABETH POLTAWEC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
65 BERGEN ST, NEWARK, NJ 07107-3001
(973) 972-4307
(973) 972-3225
Mailing address
272 COUNTY ROAD 537 W, COLTS NECK, NJ 07722-1664
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
26NR09095100
NJ
Other
Enumeration date
02/12/2007
Last updated
07/08/2007
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