Individual
HERMINA ANTWI-BOASIAKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
2988 ROUTE 516, OLD BRIDGE, NJ 08857-2325
(866) 389-2727
Mailing address
2988 ROUTE 516, OLD BRIDGE, NJ 08857-2325
(866) 389-2727
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26NJ00392000
NJ
Other
Enumeration date
09/05/2012
Last updated
02/24/2017
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