SearchNew Jersey164W00000X

Empris Vandivier

NPI 1639944192 · on the registry since 2023 · sole proprietor

Practice

Address
584 S 20th St
Newark, NJ 07103
Phone
(973) 393-4344

Registry record

Primary taxonomy
164W00000X
164W00000X
Licence states on file
NJ
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2023-11-15

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