Most Relevant Information
Provider Data
| NPI Number: | 1003315193 |
| Provider Name: | CARA KIRNER-DEPERI |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: |
Most Important Dates
| Enumeration Date: | 02/05/2018 |
| Last Updated: | 02/05/2018 |
Provider Practice Location
273 OLIVER ST
NEWARK
NJ
071052507
Practice Location Phone/Fax
| Phone: | 9739022559 |
| Fax: |
Provider Mailing Location
273 OLIVER ST
NEWARK
NJ
071052507
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |