Individual
KHALIDAH PLUMMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1091-1093 BROAD STREET, NEWARK, NJ 07114
(973) 623-0600
Mailing address
1091-1093 BROAD STREET, NEWARK, NJ 07114
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
4346161882
NJ
Other
Enumeration date
01/30/2025
Last updated
01/30/2025
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