Individual
MARY CATHLEEN VAN DER NET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
1350 CAMPUS PKWY STE 303, WALL TOWNSHIP, NJ 07753-6817
(732) 202-8071
(732) 922-6026
Mailing address
1350 CAMPUS PKWY STE 303, WALL TOWNSHIP, NJ 07753-6817
(732) 202-8071
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
26NJ01078900
NJ
Other
Enumeration date
11/18/2020
Last updated
11/18/2020
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