Most Relevant Information
Provider Data
| NPI Number: | 1003030669 |
| Provider Name: | PHYGENIA Y NIMOH APN,C |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | 26NJ00104200 |
Most Important Dates
| Enumeration Date: | 04/12/2007 |
| Last Updated: | 09/26/2013 |
Provider Practice Location
183 RT 206 NORTH
CHESTER
NJ
079302547
Practice Location Phone/Fax
| Phone: | 9088796818 |
| Fax: |
Provider Mailing Location
192 CLOVER HILL DR
FLANDERS
NJ
078369334
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |