MS. Kempolly Datisha Swaby
NPI #1750056495 in Orange, New Jersey
Provider Information
- NPI Number
- 1750056495
- Entity Type
- Individual
- Name
- MS. Kempolly Datisha Swaby
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Nurse Practitioner - Gerontology
- Enumeration Date
- Aug 13, 2021
- Last Updated
- Aug 17, 2021
Practice Location
- Address
- 531 LINCOLN AVE
- City
- Orange
- State
- New Jersey
- ZIP Code
- 07050-2122
- Phone
- (973) 941-6617
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Gerontology — Gerontology |
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