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NPI Code Detail

MEDICARE: GLORIA P PICARIELLO APN

MEDICARE: GLORIA P PICARIELLO 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
1363LA2200XAdult Health Nurse Practitioner26NN04351300NJ

General Provider Information

NPI Number : 1679723969
Entity Type Code : Individual
Provider Name (Legal Business Name) : GLORIA P PICARIELLO APN
Provider Business Mailing Address
First Line : 68 SILVERSIDE RD
Second Line :
City : LAKEWOOD
State : NJ
Zip : 08701-7549
Country : US
Telephone Number : 732-255-0015
Fax Number :
Provider Business Practice Location Address
First Line : 62 E MAIN ST
Second Line :
City : SOMERVILLE
State : NJ
Zip : 08876-2312
Country : US
Telephone Number : 908-725-8880
Fax Number : 908-725-5656
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/24/2008
Last Update Date : 09/24/2008

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Directions to “ GLORIA P PICARIELLO APN” Practice Location

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