Individual
BARBARA WYCZESANY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
200 PERRINE RD, SUITE 211, OLD BRIDGE, NJ 08857-2842
(732) 553-1000
Mailing address
1008 AUMACK RD, JACKSON, NJ 08527-1389
(732) 942-8530
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
26NJ00183200
NJ
Other
Enumeration date
03/18/2009
Last updated
03/18/2009
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