Liane Paixao-Illa, NP

NPI 1326212796 · on the registry since 2008 · sole proprietor

Practice

Address: 788 Mount Prospect Ave
Newark, NJ 07104
Phone: (973) 485-6433
Organisation at this address: Ironbound Community Health Center Inc
Ironbound Community Health Center Inc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy: 363LA2200X
363LA2200X
Licence states on file: NJ
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2008-04-16

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