Individual
VAIBHAVEE PATHAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, FNP-C, RN
Contact information
Practice address
254 EASTON AVE, NEW BRUNSWICK, NJ 08901-1766
(732) 745-8600
Mailing address
101 CHEROKEE DR, GALLOWAY, NJ 08205-3742
(609) 204-9116
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
26NR18167800
NJ
363LF0000X
Family Nurse Practitioner
Primary
26NJ01196100
NJ
Other
Enumeration date
08/04/2021
Last updated
09/07/2021
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