Individual
RAYNALD JOSEPH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APN
Contact information
Practice address
868 ROSEMONT AVE, UNION, NJ 07083-7247
(908) 265-3996
Mailing address
868 ROSEMONT AVE, UNION, NJ 07083-7247
(908) 265-3996
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
403336
NY
Other
Enumeration date
11/30/2020
Last updated
11/30/2020
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