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Individual

JULIA ROBERTS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
WHNP

Contact information

Practice address
445 HURFFVILLE CROSSKEYS RD STE A, SEWELL, NJ 08080-2337
(856) 577-7530
Mailing address
135 N OAKLAND AVE, RUNNEMEDE, NJ 08078-1641
(856) 340-1558

Taxonomy

Speciality
Code
Description
License number
State
163WW0101X
Ambulatory Women's Health Care Registered Nurse
RN685804
PA
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
26NJ01370300
NJ

Other

Enumeration date
08/19/2022
Last updated
01/02/2024
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