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NPI 1205501509 · Home Health Aide · Linden, NJ
Provider details
- NPI number
- 1205501509
- Entity type
- Individual
- Primary specialty
- Home Health AideNursing Service Related Providers
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Nursing Service Related Providers
Practice location
36 E 19th St
Linden, NJ 07036-3409
Phone: (862) 899-6727
Approximate (ZIP-level) locationGet directions
Mailing address
36 E 19th St
Linden, NJ 07036-3409
Registry dates
- Enumerated
- 2021-08-10
- Last updated
- 2021-08-10
- Certified
- 2021-08-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.