Provider Demographics
NPI:1275655003
Name:FORBES, PAULETTE E (MPH, MS, APN)
Entity Type:Individual
Prefix:MS
First Name:PAULETTE
Middle Name:E
Last Name:FORBES
Suffix:
Gender:F
Credentials:MPH, MS, APN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 233
Mailing Address - Street 2:
Mailing Address - City:BELLE MEAD
Mailing Address - State:NJ
Mailing Address - Zip Code:08502-0233
Mailing Address - Country:US
Mailing Address - Phone:732-418-8075
Mailing Address - Fax:732-418-8121
Practice Address - Street 1:195 LITTLE ALBANY ST
Practice Address - Street 2:THE CANCER INSTITUTE OF NEW JERSEY - PEDIATRIC ONCOLOGY
Practice Address - City:NEW BRUNSWICK
Practice Address - State:NJ
Practice Address - Zip Code:08901-1914
Practice Address - Country:US
Practice Address - Phone:732-235-5437
Practice Address - Fax:732-235-6462
Is Sole Proprietor?:No
Enumeration Date:2007-04-04
Last Update Date:2008-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NN08924500363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJS61567Medicare UPIN