Individual
BERYL SOWAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
243 RARITAN ST, KEYPORT, NJ 07735-5138
(732) 441-3881
Mailing address
243 RARITAN ST, KEYPORT, NJ 07735-5138
(732) 441-3881
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
26NJ00378100
NJ
Other
Enumeration date
05/19/2012
Last updated
05/19/2012
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