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Individual

JOHN NI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
232 BELLEVILLE TPKE, KEARNY, NJ 07032-3203
(201) 998-3020
Mailing address
232 BELLEVILLE TPKE, KEARNY, NJ 07032-3203
(973) 879-6951

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25MA12995100
NJ
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
03/22/2023
Last updated
03/04/2026
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