Individual
MR. OMAR GURBAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP-C
Contact information
Practice address
462A LIBERTY STREET, UNIT 201, LITTLE FERRY, NJ 07643
(347) 400-2985
Mailing address
462A LIBERTY STREET, UNIT 201, LITTLE FERRY, NJ 07643
(347) 400-2985
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
26NJ01176600
NJ
Other
Enumeration date
07/21/2021
Last updated
07/21/2021
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