Individual
DANA DELATUSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
300 2ND AVE, LONG BRANCH, NJ 07740-6303
(732) 923-6848
Mailing address
287 NORWOOD AVE, LONG BRANCH, NJ 07740-5211
(732) 996-6316
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
26NJ00642800
NJ
Other
Enumeration date
07/05/2016
Last updated
07/05/2016
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