Jessica Lila Poniatowski APRN,BC

NPI 1366520389 - Nurse Practitioner - 363LA2200X

NPI Details
NPI 1366520389
Gender Female
Enumeration Date 11/01/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
510 HAMBURG TPKE
SUITE 201
WAYNE NJ, 07470-2025, US
Phone (973) 942-1141
Fax (973) 942-7071
Business Location
510 HAMBURG TPKE
SUITE 201
WAYNE NJ, 07470-2025, US
Phone (973) 942-1141
Fax (973) 942-7071
Toxanomy
Taxonomy Code 363LA2200X
License State New Jersey
License Number 26NJ00090600
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According to our database, Ms. Jessica Lila Poniatowski APRN,BC NPI is 1366520389, taxonomy code is 363LA2200X and license number is 26NJ00090600, license state is located at New Jersey. Jessica Lila Poniatowski APRN,BC physically located at 510 Hamburg Tpke, Wayne NJ, 07470-2025. NPI Number Jessica Lila Poniatowski APRN,BC has the Individual type.

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1366520389 NPI number is provided on an as is basis without warranty of any kind. 1366520389 is maintained by the National Plan & Provider Enumeration System. The contents of Jessica Lila Poniatowski APRN,BC are for informational purposes only.