Individual
MS. LISA GEORGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
435 CENTRAL AVE, JERSEY CITY, NJ 07307-2760
(201) 217-5600
Mailing address
15 BOWFELL CT, WAYNE, NJ 07470-2144
(201) 841-9987
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
26NJ00574700
NJ
364SW0102X
Women's Health Clinical Nurse Specialist
Primary
26NJ00574700
NJ
Other
Enumeration date
01/22/2019
Last updated
01/22/2019
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