Individual
MARSHA TEKLEWOLDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
105 RAIDER BLVD STE 101, HILLSBOROUGH, NJ 08844-1528
(908) 281-0221
Mailing address
105 RAIDER BLVD STE 101, HILLSBOROUGH, NJ 08844-1528
(908) 281-0221
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
26NJ01070200
NJ
Other
Enumeration date
03/19/2021
Last updated
03/19/2021
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