Individual
NEELIMA ROY FURTADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
150 BERGEN ST, NEWARK, NJ 07103-2496
(973) 972-4300
Mailing address
51 CALVERT AVE EAST, EDISON, NJ 08820-3251
(732) 754-4107
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00773200
NJ
Other
Enumeration date
04/11/2023
Last updated
04/13/2023
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