Individual
NADINE LITTLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
109 BROAD ST APT 403, NEWARK, NJ 07104-5935
(973) 855-8509
Mailing address
109 BROAD ST APT 403, NEWARK, NJ 07104-5935
(973) 855-8509
Taxonomy
Speciality
Code
Description
License number
State
202K00000X
Phlebology Physician
Primary
0
NJ
Other
Enumeration date
08/24/2023
Last updated
08/24/2023
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