White, Mary A

White, Mary A is an individual health care provider with primary practice located at 101 2Nd St , Lakewood NJ 08701-3324. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. White, Mary A can be contacted via phone (732) 363-6655.

Contact Information

Primary practice address
101 2Nd St Lakewood NJ 08701-3324
Phone: (732) 363-6655
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X NN78638 New Jersey

Profile Details

NPI number 1538865779
LBN Legal business name White, Mary A
Credentials CPNP-PC
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 31st, 2023
Last updated May 31st, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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