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NPI Code Detail

MEDICARE: REGINA GISMONDI APRN,BC

MEDICARE:   REGINA  GISMONDI  APRN,BC
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
1363LA2100XAcute Care Nurse PractitionerSP009635PA

General Provider Information

NPI Number : 1881871051
Entity Type Code : Individual
Provider Name (Legal Business Name) : REGINA GISMONDI APRN,BC
Provider Business Mailing Address
First Line : 305 MARLBOROUGH AVE
Second Line :
City : W COLLS HGTS
State : NJ
Zip : 08059-1922
Country : US
Telephone Number : 856-349-2425
Fax Number :
Provider Business Practice Location Address
First Line : 1015 WALNUT ST
Second Line : 604 CURTIS BUILDING- DEPARTMENT OF SURGERY
City : PHILADELPHIA
State : PA
Zip : 19107-5005
Country : US
Telephone Number : 215-955-9991
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/30/2008
Last Update Date : 01/30/2008

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Directions to “ REGINA GISMONDI APRN,BC” Practice Location

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