Individual
MS. ALICIA REZNICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
240 MULBERRY ST, NEWARK, NJ 07102-3528
(973) 622-3900
Mailing address
56 RIDGE AVE, BLOOMFIELD, NJ 07003-3841
(908) 963-7250
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26NJ01441700
NJ
363LF0000X
Family Nurse Practitioner
RN254953
GA
363LW0102X
Women's Health Nurse Practitioner
26NJ01441700
NJ
Other
Enumeration date
09/06/2018
Last updated
05/02/2023
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