Individual
CAROL M HARNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1 ROBERT WOOD JOHNSON PL, MED 104, NEW BRUNSWICK, NJ 08901-1928
(732) 235-8717
(732) 235-7379
Mailing address
1 ROBERT WOOD JOHNSON PL, MED 104, NEW BRUNSWICK, NJ 08901-1928
(732) 235-8717
(732) 235-7379
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
25MP00163700
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110234ATB
—
NJ
Enumeration date
08/23/2006
Last updated
03/09/2010
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