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Grace Medical Consult
Psychiatric/Mental Health Nurse Practitioner in Irvington, New Jersey
NPI 1104370915

Grace Medical Consult is a Psychiatric/Mental Health Nurse Practitioner based in Irvington, NJ and is specialized in Psychiatric/Mental Health. Grace Medical Consult practices in Irvington, NJ. The NPI Number for Grace Medical Consult is 1104370915 and holds a License No. 26NJ00196200 (New Jersey).

The current practice location address for Grace Medical Consult is 40 Union Ave, Irvington, NJ and can be reached out via phone at 973-996-2170.

Location: 40 Union Ave, Irvington, NJ, 07111-3277
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1104370915
Provider Name
Grace Medical Consult
Credential
Provider Entity Type
Organization
Address
40 Union Ave, Irvington, NJ, 07111-3277
Phone Number
973-996-2170
Fax Number
Provider Enumeration Date
08/09/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
40 Union Ave
City
Irvington
State
New Jersey
Zip
07111-3277
Phone Number
973-996-2170
Fax Number
person
Provider Business Mailing Address Details
Address
40 Union Ave
City
Irvington
State
New Jersey
Zip
07111-3277
Phone Number
973-996-2170
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
363LP0808X
License No.
26NJ00196200 (New Jersey)
Definition
Definition to come...
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