Individual
PAULINE ANDREA PARK-MAXWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
1542 KUSER RD STE B7, HAMILTON, NJ 08619-3829
(609) 989-9211
(609) 896-0249
Mailing address
339 HILLCREST AVE, EWING, NJ 08618-2509
(609) 233-1211
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26NJ01168800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0892823
—
NJ
Enumeration date
04/20/2022
Last updated
03/09/2023
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