MEDICARE: ELEUTERIO LAUD 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
1	163W00000X	Registered Nurse		NJ

General Provider Information

NPI Number	:	1003994377
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELEUTERIO LAUD RN

Provider Business Mailing Address
First Line	:	671 HOES LN
Second Line	:	P. O. BOX 1392
City	:	PISCATAWAY
State	:	NJ
Zip	:	08854-5627
Country	:	US
Telephone Number	:	732-235-5940
Fax Number	:	732-235-2408

Provider Business Practice Location Address
First Line	:	671 HOES LN
Second Line	:
City	:	PISCATAWAY
State	:	NJ
Zip	:	08854-5627
Country	:	US
Telephone Number	:	800-969-5300
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/02/2006
Last Update Date	:	07/08/2007

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