Individual
ADRIAN LANCELOT FOX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APRN,BC
Contact information
Practice address
395 GRAND ST, ACC BUILDING 2ND FLOOR, JERSEY CITY, NJ 07302-4238
(201) 915-2000
Mailing address
300 NEWARK ST APT 5F, HOBOKEN, NJ 07030-2448
(917) 478-7558
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
26NJ00022900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1386268126
GROUP NPI
NJ
Enumeration date
01/22/2007
Last updated
06/16/2020
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