SearchNew Jersey311ZA0620X

Petal Forbes

NPI 1700554276 · on the registry since 2021 · sole proprietor

Practice

Address
36 Oakland Avenue
Somerset, NJ 08873
Phone
(732) 843-7760

Registry record

Primary taxonomy
311ZA0620X
311ZA0620X
Also registered as
172A00000X
347C00000X
3747A0650X
3747P1801X
Licence states on file
NJ
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2021-08-31

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