Individual
MRS. REENA VARGHESE MATHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
8 E GRAND AVE, MONTVALE, NJ 07645-2536
(201) 474-5189
Mailing address
100 LAFAYETTE AVE, DUMONT, NJ 07628-2700
(201) 873-7475
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
26NJ00997800
NJ
Other
Enumeration date
12/12/2019
Last updated
12/12/2019
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