Individual
SHARON BULLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
850 S ORANGE AVE, PO 6188, NEWARK, NJ 07106-1941
(973) 399-7630
Mailing address
850 S ORANGE AVE, PO 6188, NEWARK, NJ 07106-1941
(973) 399-7630
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
10/22/2014
Last updated
10/22/2014
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