Individual
COREY SHERLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
182 LYONS AVE, NEWARK, NJ 07112-2026
(888) 244-5373
Mailing address
182 LYONS AVE, NEWARK, NJ 07112-2026
(888) 244-5373
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
26NJ00781900
NJ
Other
Enumeration date
12/06/2017
Last updated
09/05/2019
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