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5 Regent St Suite 509 Livingston NJ 07039-1675 | |
| (973) 251-2437 | |
| (973) 251-2654 |
| Full Name | |
|---|---|
| Speciality | Family Medicine |
| Location | 5 Regent St, Livingston, New Jersey |
| Authorized Official Name and Position | Wendie Nonclerc (DIRECTOR OF INSURANCE DEVELOPMENT) |
| Authorized Official Contact | 8132286334 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
5 Regent St Suite 509 Livingston NJ 07039-1675 Ph: (973) 251-2437 | 5 Regent St Suite 509 Livingston NJ 07039-1675 Ph: (973) 251-2437 |
| NPI Number | 1912450008 |
|---|---|
| Provider Enumeration Date | 07/26/2016 |
| Last Update Date | 07/26/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912450008 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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