(800) 868-1923

Most Relevant Information


Provider Data
NPI Number: 1003532698
Provider Name: CASSIDY MARTIN DNP
Entity Type: Individual
Taxonomy Code: 363LG0600X
Specialty: Nurse Practitioner
License Number: 26NJ01371107
Most Important Dates
Enumeration Date: 10/14/2022
Last Updated: 05/20/2024
Provider Practice Location
94 OLD SHORT HILLS RD
LIVINGSTON
NJ
070395672
Practice Location Phone/Fax
Phone: 9733222793
Fax:
Provider Mailing Location
PO BOX 524
BOONTON
NJ
070050524
Provider Mailing Phone/Fax
Phone:
Fax: