| Doctor Name: | GRACE RUTH QARMOUT |
| NPI Number: | 1487905246 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | R.N. , NPC |
| License Number: | 26NJ00393500 |
| Business Practice Address: | 300 Kakeout Rd Kinnelon Medical And Wellness Kinnelon, NJ - 074052548 |
| Business Phone Number: | 9738386252 |
| Business Fax Number: | 9738384159 |
| Mailing Address: | 300 Kakeout Rd, KINNELON |
| State: | NJ |
| Postal Code: | 074052548 |
| Phone Number: | 9738386252 |
| Fax Number: | 9738384159 |
| NPI Enumeration Date: | 09/19/2012 |
| NPI Last Update Date: | 09/19/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP2300X |
| License Number: | 26NJ00393500 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Primary Care |
| Taxonomy Definition: | |