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NPI Code Detail

MEDICARE: VIVIAN JOAN MINUTOLO RN

MEDICARE: VIVIAN JOAN MINUTOLO RN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163W00000XRegistered Nurse26NO05622400NJ

General Provider Information

NPI Number : 1215181896
Entity Type Code : Individual
Provider Name (Legal Business Name) : VIVIAN JOAN MINUTOLO RN
Provider Business Mailing Address
First Line : 1440 NEVADA DR
Second Line :
City : TOMS RIVER
State : NJ
Zip : 08753-5875
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2250 HICKORY RD
Second Line : SUITE 240
City : PLYMOUTH MEETING
State : PA
Zip : 19462-1047
Country : US
Telephone Number : 610-834-1122
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/10/2008
Last Update Date : 04/26/2026

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