| Vernonway Healthcare Agency | |
|
123 Highland Ave Ste G2 Glen Ridge NJ 07028-1522 | |
| (908) 304-9577 | |
| (908) 652-9230 |
| Full Name | Vernonway Healthcare Agency |
|---|---|
| Speciality | Nurse Practitioner - Adult Health |
| Location | 123 Highland Ave Ste G2, Glen Ridge, New Jersey |
| Authorized Official Name and Position | Jemima M Celestin (OWNER) |
| Authorized Official Contact | 9083049577 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vernonway Healthcare Agency 123 Highland Ave Ste G2 Glen Ridge NJ 07028-1522 Ph: (908) 304-9577 | Vernonway Healthcare Agency 123 Highland Ave Ste G2 Glen Ridge NJ 07028-1522 Ph: (908) 304-9577 |
| NPI Number | 1164253258 |
|---|---|
| Provider Enumeration Date | 08/09/2024 |
| Last Update Date | 08/09/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164253258 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Secondary |
| 363LA2200X | Nurse Practitioner - Adult Health | (* (Not Available)) | Primary |
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