Individual
NICOLE FERSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
532 E BROAD ST, WESTFIELD, NJ 07090-2116
(908) 232-3445
Mailing address
532 E BROAD ST, WESTFIELD, NJ 07090-2116
(908) 232-3445
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
25MB10521700
NJ
Other
Enumeration date
04/14/2016
Last updated
09/04/2019
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