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Victoria Funn

NPI 1245193077 · on the registry since 2025

Practice

Address
72 Renner Ave
Newark, NJ 07112
Phone
(973) 417-2614
Fax
(973) 417-2614
Organisation at this address
Soul Catering Llc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
174H00000X
174H00000X
Also registered as
133NN1002X
Licence states on file
NJ
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-12-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Jersey