Individual
NICOLE ROSE GAREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
55 MEADOWLANDS PKWY FL 2, SECAUCUS, NJ 07094-2977
(551) 999-7050
(201) 392-3571
Mailing address
PO BOX 825478, PHILADELPHIA, PA 19182-5478
(551) 999-7050
(201) 392-3571
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
25MP00436400
NJ
363AS0400X
Surgical Physician Assistant
018096
NY
363AS0400X
Surgical Physician Assistant
Primary
25MP00436400
NJ
Other
Enumeration date
10/01/2014
Last updated
09/23/2024
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