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Individual

INA E WOMBLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APN

Contact information

Practice address
3 CENTURY DR, PARSIPPANY, NJ 07054-4610
(877) 692-4665
Mailing address
456 PORT MONMOUTH RD E, PORT MONMOUTH, NJ 07758-1646
(732) 787-9277
(612) 659-7101

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26NC08044100
NJ
363LF0000X
Family Nurse Practitioner
333340-1
NY

Other

Enumeration date
08/17/2006
Last updated
07/21/2022
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