NPI 1780062620
Heather Taveras
Practice location
- Address
- 37 Evergreen Pl, East Orange, NJ 07018-2154
- Phone
- (973) 266-7983
- Mailing address
- 590 N 7th St, Newark, NJ 07107-2522
Registered specialties
Mental Illness Community Based Residential Treatment Facility
Primary
Registry record
- NPI
- 1780062620
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 12 May 2015
- Record last updated
- 12 May 2015
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.