SearchNew Jersey164W00000X

Shaquetta Carr

NPI 1649644865 · on the registry since 2015

Practice

Address
118 N Maple Ave
East Orange, NJ 07017
Phone
(973) 676-1000
Fax
(973) 395-7154

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
2015-11-27

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