Individual
RANI THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
150 BERGEN ST, NEWARK, NJ 07103-2496
(973) 972-5610
Mailing address
20 RIKER HILL RD, LIVINGSTON, NJ 07039-1217
(973) 508-7515
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
26NJ0081800
NJ
Other
Enumeration date
06/16/2018
Last updated
06/16/2018
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