Individual
ADA BANKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
185 S ORANGE AVE, ROOM E-506, NEWARK, NJ 07103-2757
(972) 972-2708
Mailing address
14 WOODLAND AVE, EAST ORANGE, NJ 07017-2006
(973) 673-5968
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
26NN05167400
NJ
Other
Enumeration date
06/03/2007
Last updated
07/08/2007
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