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NPI Code Detail

MEDICARE: GERALDINE CALIXTE-STARKS FNP-C

MEDICARE:   GERALDINE  CALIXTE-STARKS  FNP-C
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
1363LF0000XFamily Nurse Practitioner26NJ15233900NJ

General Provider Information

NPI Number : 1497562516
Entity Type Code : Individual
Provider Name (Legal Business Name) : GERALDINE CALIXTE-STARKS FNP-C
Provider Business Mailing Address
First Line : 439 SEVEN OAKS RD
Second Line :
City : ORANGE
State : NJ
Zip : 07050-3120
Country : US
Telephone Number : 973-530-1166
Fax Number :
Provider Business Practice Location Address
First Line : 439 SEVEN OAKS RD
Second Line :
City : ORANGE
State : NJ
Zip : 07050-3120
Country : US
Telephone Number : 973-530-1166
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/12/2024
Last Update Date : 12/12/2024

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Directions to “ GERALDINE CALIXTE-STARKS FNP-C” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.