Individual
JOHN OBRIEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
333 PASSAIC ST, PASSAIC, NJ 07055-5814
(973) 365-5656
(973) 365-5677
Mailing address
333 PASSAIC ST, PASSAIC, NJ 07055-5814
(973) 365-5656
(973) 365-5677
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
26NO09809300
NJ
Other
Enumeration date
06/30/2021
Last updated
06/30/2021
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