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Benjamin Quidangen
Family Nurse Practitioner in Bloomfield, New Jersey
NPI 1740727791

Benjamin Quidangen is a Family Nurse Practitioner based in Bloomfield, NJ and is specialized in Family. Benjamin Quidangen practices in Bloomfield, NJ. The NPI Number for Benjamin Quidangen is 1740727791 and holds a License No. 340063 (New Jersey).

The current practice location address for Benjamin Quidangen is 12 Lewis St, Bloomfield, NJ and can be reached out via phone at 201-957-4114.

Location: 12 Lewis St, Bloomfield, NJ, 07003-6017
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1740727791
Provider Name
Benjamin Quidangen
Credential
Provider Entity Type
Individual
Gender
Male
Address
12 Lewis St, Bloomfield, NJ, 07003-6017
Phone Number
201-957-4114
Fax Number
Provider Enumeration Date
01/30/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
12 Lewis St
City
Bloomfield
State
New Jersey
Zip
07003-6017
Phone Number
201-957-4114
Fax Number
person
Provider Business Mailing Address Details
Address
12 Lewis St
City
Bloomfield
State
New Jersey
Zip
07003-6017
Phone Number
201-957-4114
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
340063 (New York)
Definition
Definition to come...
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