Individual
MS. AYESHA HARGROVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
741 BROADWAY, NEWARK, NJ 07104-4309
(973) 483-1300
(973) 696-1396
Mailing address
16 WILLIAMSON AVE, HILLSIDE, NJ 07205-1606
(973) 713-1156
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
26NJ15299000
NJ
Other
Enumeration date
06/16/2025
Last updated
06/16/2025
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