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Individual

GEORGINA CID

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1222 US HIGHWAY 9, HOWELL, NJ 07731-3329
(732) 294-0165
Mailing address
PO BOX 6111, FREEHOLD, NJ 07728-6111
(732) 294-0165

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MA054315
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1305107
NJ
01
P725482
OXFORD
NJ
Enumeration date
11/06/2006
Last updated
05/21/2012
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