Individual
MS. ELYSE A WARNS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, ATC
Contact information
Practice address
ST. BERNARD'S ROAD, GLADSTONE, NJ 07934
(908) 234-1611
Mailing address
PO BOX 604, GLADSTONE, NJ 07934
(908) 234-1611
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
25MT00092400
NJ
Other
Enumeration date
12/20/2006
Last updated
07/08/2007
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