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NPI Code Detail

MEDICARE: SANDRA A UZZALINO APN

MEDICARE: SANDRA A UZZALINO APN
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
1363LF0000XFamily Nurse Practitioner26NJ00029900NJ

General Provider Information

NPI Number : 1124078043
Entity Type Code : Individual
Provider Name (Legal Business Name) : SANDRA A UZZALINO APN
Provider Business Mailing Address
First Line : 5730 EXECUTIVE DR STE 230
Second Line :
City : CATONSVILLE
State : MD
Zip : 21228-1762
Country : US
Telephone Number : 973-831-3540
Fax Number : 973-831-3503
Provider Business Practice Location Address
First Line : 1 CEDAR CREST VILLAGE DR
Second Line :
City : POMPTON PLAINS
State : NJ
Zip : 07444-2100
Country : US
Telephone Number : 973-831-3540
Fax Number : 973-831-3503
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/11/2006
Last Update Date : 12/04/2024

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Directions to “ SANDRA A UZZALINO APN” Practice Location

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