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: |