Individual
MR. EDWIN CABASSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSN,APRN,BC
Contact information
Practice address
680 BROADWAY, PATERSON, NJ 07514-1422
(973) 977-6657
(973) 977-6658
Mailing address
79 MAPLE ST, BERGENFIELD, NJ 07621-1411
(201) 501-0564
(201) 501-0564
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26NN10664700
NJ
Other
Enumeration date
07/12/2006
Last updated
07/08/2007
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