Individual
MRS. LILLY S PAULOSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APN-BC
Contact information
Practice address
225 WILLIAMSON ST, ELIZABETH, NJ 07202-3625
(908) 994-5000
Mailing address
379 CAMPUS DR FL 4, SOMERSET, NJ 08873-1161
(732) 937-8939
(732) 418-8372
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
26NJ00377800
NJ
Other
Enumeration date
02/01/2013
Last updated
01/13/2025
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