Individual
DOROTHY LARRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
MOUNTAINSIDE HOSPITAL, 1 BAY AVENUE, MONTCLAIR, NJ 07042
(973) 429-6000
Mailing address
211 EMILY PLACE, PARSIPPANY, NJ 07054
(973) 560-9114
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
26NJ00367800
NJ
Other
Enumeration date
07/18/2013
Last updated
10/07/2014
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