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Prodigy Aesthetics
Primary Care Nurse Practitioner in Paterson, New Jersey
NPI 1437856648

Prodigy Aesthetics is a Primary Care Nurse Practitioner based in Paterson, NJ and is specialized in Primary Care. Prodigy Aesthetics practices in Paterson, NJ. The NPI Number for Prodigy Aesthetics is 1437856648 and holds a License No. (New Jersey).

The current practice location address for Prodigy Aesthetics is 680 Broadway Ste 205, Paterson, NJ and can be reached out via phone at 973-790-0123.

Location: 680 Broadway Ste 205, Paterson, NJ, 07514-1527
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1437856648
Provider Name
Prodigy Aesthetics
Credential
Provider Entity Type
Organization
Address
680 Broadway Ste 205, Paterson, NJ, 07514-1527
Phone Number
973-790-0123
Fax Number
Provider Enumeration Date
02/08/2023
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
680 Broadway Ste 205
City
Paterson
State
New Jersey
Zip
07514-1527
Phone Number
973-790-0123
Fax Number
person
Provider Business Mailing Address Details
Address
680 Broadway Ste 205
City
Paterson
State
New Jersey
Zip
07514-1527
Phone Number
973-790-0123
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Primary Care
Taxonomy
363LP2300X
License No.
()
Definition
Definition to come...
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