Provider Demographics
NPI:1275240384
Name:CROFFORD CONSTABLE, MARGARET MARY ANGELIQUE I (DNP)
Entity Type:Individual
Prefix:DR
First Name:MARGARET MARY
Middle Name:ANGELIQUE
Last Name:CROFFORD CONSTABLE
Suffix:I
Gender:F
Credentials:DNP
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Mailing Address - Street 1:1145 SCHMIDT LN
Mailing Address - Street 2:
Mailing Address - City:NORTH BRUNSWICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08902-1362
Mailing Address - Country:US
Mailing Address - Phone:732-763-3621
Mailing Address - Fax:
Practice Address - Street 1:676 AMBOY AVE
Practice Address - Street 2:
Practice Address - City:WOODBRIDGE
Practice Address - State:NJ
Practice Address - Zip Code:07095-3158
Practice Address - Country:US
Practice Address - Phone:732-634-4440
Practice Address - Fax:732-634-0069
Is Sole Proprietor?:Yes
Enumeration Date:2022-10-31
Last Update Date:2022-10-31
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NJ26NJ01302800363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health