Individual
JUSTIN DARYL A DUAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
41 N 11TH ST, KENILWORTH, NJ 07033-1519
(201) 673-4436
Mailing address
41 N 11TH ST, KENILWORTH, NJ 07033-1519
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26NJ15429700
NJ
Other
Enumeration date
09/24/2025
Last updated
10/24/2025
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