Healthcare Provider Details

I. General information

NPI: 1851560882
Provider Name (Legal Business Name): BARBARA JEAN MAGGIO APN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/24/2008
Last Update Date: 02/24/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

89 FRENCH ST
NEW BRUNSWICK NJ
08901-1935
US

IV. Provider business mailing address

714 TALAMINI RD
BRIDGEWATER NJ
08807-1650
US

V. Phone/Fax

Practice location:
  • Phone: 732-235-7899
  • Fax: 732-235-7077
Mailing address:
  • Phone: 908-722-3466
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number26NC03407200
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: