Healthcare Provider Details

I. General information

NPI: 1700196383
Provider Name (Legal Business Name): VERONICA SANZ
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/15/2010
Last Update Date: 05/27/2026
Certification Date: 05/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

201 ROUTE 17
RUTHERFORD NJ
07070-2574
US

IV. Provider business mailing address

201 ROUTE 17
RUTHERFORD NJ
07070-2574
US

V. Phone/Fax

Practice location:
  • Phone: 551-257-7757
  • Fax: 201-863-5251
Mailing address:
  • Phone:
  • Fax: 201-863-5251

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License Number26NJ00246100
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: