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NPI Code Detail

MEDICARE: NICOLE CIULLA

MEDICARE: NICOLE CIULLA
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
1225200000XPhysical Therapy Assistant40QB00326900NJ

General Provider Information

NPI Number : 1447604889
Entity Type Code : Individual
Provider Name (Legal Business Name) : NICOLE CIULLA
Provider Business Mailing Address
First Line : 817 TUDOR CT
Second Line :
City : TOMS RIVER
State : NJ
Zip : 08753-3732
Country : US
Telephone Number : 917-636-8440
Fax Number :
Provider Business Practice Location Address
First Line : 2 KATHLEEN DR
Second Line :
City : JACKSON
State : NJ
Zip : 08527-2269
Country : US
Telephone Number : 732-719-3907
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/22/2016
Last Update Date : 04/22/2016

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Directions to “ NICOLE CIULLA ” Practice Location

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