Individual
MARCY J KUNNIPPARAMPIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
150 BERGEN ST, NEWARK, NJ 07103-2496
(973) 972-5000
Mailing address
25 MELROSE DR, LIVINGSTON, NJ 07039-2454
(201) 283-4291
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26NJ00840300
NJ
Other
Enumeration date
09/23/2018
Last updated
09/23/2018
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