Individual
GALINA MARKOVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
317 GEORGE ST, 1ST FLOOR, NEW BRUNSWICK, NJ 08901-2008
(732) 235-8993
(732) 246-7317
Mailing address
66 W GILBERT ST, 2ND FLOOR, TINTON FALLS, NJ 07701-4947
(732) 212-0051
(732) 212-0713
Taxonomy
Speciality
Code
Description
License number
State
163WW0000X
Wound Care Registered Nurse
476435-1
NY
363LF0000X
Family Nurse Practitioner
Primary
26NJ00131000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0185426
—
NJ
01
—
P00953351
RR MCR PTAN
NJ
01
—
P00953373
RR MCR PTAN
NJ
Enumeration date
05/05/2006
Last updated
09/21/2011
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