Individual
ANTHONY EDOUARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
51 HERRICK AVE, TEANECK, NJ 07666-4155
(917) 543-8704
Mailing address
51 HERRICK AVE, TEANECK, NJ 07666-4155
(917) 543-8704
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
26NR19935000
NJ
163W00000X
Registered Nurse
Primary
710374
NY
Other
Enumeration date
08/07/2024
Last updated
08/07/2024
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