Individual
MARY JUDY SANTOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
90 BERGEN ST RM 1200, NEWARK, NJ 07103-2425
(973) 972-2184
Mailing address
117 BIRCHWOOD TER, CLIFTON, NJ 07012-2333
(551) 655-1719
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26NJ00540300
NJ
Other
Enumeration date
07/13/2017
Last updated
07/13/2017
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