Individual
MARY E PAUELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP-C
Contact information
Practice address
1270 HIGHWAY 35, MIDDLETOWN, NJ 07748-2014
(732) 615-3900
(732) 615-0865
Mailing address
PO BOX 8000, DEPT 596, BUFFALO, NY 14267-0008
(732) 615-3900
(732) 615-0865
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26NN07729800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
039076DE4
MEDICARE
NJ
05
—
8360201
—
NJ
Enumeration date
06/10/2005
Last updated
12/22/2011
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