Individual
KIMBERLY SWEET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
433 CENTRAL AVE, WESTFIELD, NJ 07090-2520
(973) 759-9000
(973) 538-7704
Mailing address
85 S MAPLE AVE, RIDGEWOOD, NJ 07450-4561
(201) 445-2830
(201) 445-7471
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
25MP00142300
NJ
363A00000X
Physician Assistant
Primary
25MP00142300
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00349290
RR MDCR #
NJ
Enumeration date
07/28/2005
Last updated
04/29/2024
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