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NPI Code Detail

MEDICARE: CHRISTINA D FLOCCO NP

MEDICARE: CHRISTINA D FLOCCO NP
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
1363LA2200XAdult Health Nurse Practitioner26NJ00047000NJ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11790396281OTHERNJTITAN HEALTH GROUP NPI#
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1811986714
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTINA D FLOCCO NP
Provider Business Mailing Address
First Line : 629 CRANBURY RD FL 2
Second Line :
City : EAST BRUNSWICK
State : NJ
Zip : 08816-4096
Country : US
Telephone Number : 732-390-7750
Fax Number : 732-390-7725
Provider Business Practice Location Address
First Line : 629 CRANBURY RD FL 2
Second Line :
City : EAST BRUNSWICK
State : NJ
Zip : 08816-4096
Country : US
Telephone Number : 732-390-7750
Fax Number : 732-390-7725
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/14/2005
Last Update Date : 05/22/2023

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Directions to “ CHRISTINA D FLOCCO NP” Practice Location

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