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Kim Dovalo
Family Nurse Practitioner in Newark, New Jersey
NPI 1043626211

Kim Dovalo is a Family Nurse Practitioner based in Newark, NJ and is specialized in Family. Kim Dovalo practices in Newark, NJ. The NPI Number for Kim Dovalo is 1043626211 and holds a License No. 26NJ00484100 (New Jersey).

The current practice location address for Kim Dovalo is 90 Bergen St Ste 8100, Newark, NJ and can be reached out via phone at 973-972-2897.

Location: 90 Bergen St Ste 8100, Newark, NJ, 07103-2425
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1043626211
Provider Name
Kim Dovalo
Credential
Provider Entity Type
Individual
Gender
Female
Address
90 Bergen St Ste 8100, Newark, NJ, 07103-2425
Phone Number
973-972-2897
Fax Number
Provider Enumeration Date
07/08/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
90 Bergen St Ste 8100
City
Newark
State
New Jersey
Zip
07103-2425
Phone Number
973-972-2897
Fax Number
person
Provider Business Mailing Address Details
Address
90 Bergen St Ste 8100
City
Newark
State
New Jersey
Zip
07103-2425
Phone Number
973-972-2897
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
26NJ00484100 (New Jersey)
Definition
Definition to come...
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