Individual
CAROL BACON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
201 LYONS AVE, NEWARK BETH ISRAEL MEDICAL CENTER, NEWARK, NJ 07112-2027
(973) 926-7320
(973) 705-8207
Mailing address
201 LYONS AVE, NEWARK BETH ISRAEL MEDICAL CENTER, NEWARK, NJ 07112-2027
(973) 926-7320
(973) 705-8207
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
26NJ00272500
NJ
Other
Enumeration date
04/12/2013
Last updated
04/12/2013
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