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NPI Code Detail

MEDICARE: PRISCILLA T NGO NP

MEDICARE:   PRISCILLA T NGO  NP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163W00000XRegistered Nurse26NR14318000NJ
2363LF0000XFamily Nurse PractitionerNP95007772CA
3363LF0000XFamily Nurse Practitioner26NJ00564000NJ

General Provider Information

NPI Number : 1215345822
Entity Type Code : Individual
Provider Name (Legal Business Name) : PRISCILLA T NGO NP
Provider Business Mailing Address
First Line : PO BOX 416457
Second Line :
City : BOSTON
State : MA
Zip : 02241-7550
Country : US
Telephone Number : 844-362-1735
Fax Number : 973-290-7495
Provider Business Practice Location Address
First Line : 100 MADISON AVE FL 4
Second Line :
City : MORRISTOWN
State : NJ
Zip : 07960-6136
Country : US
Telephone Number : 973-971-4166
Fax Number : 973-290-7152
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/27/2014
Last Update Date : 04/08/2024

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Directions to “ PRISCILLA T NGO NP” Practice Location

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