Individual
AMANDA TORMOLLAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
100 HIGHWAY 36 STE 2K, WEST LONG BRANCH, NJ 07764-1453
(732) 531-6600
Mailing address
1020 CULPEPPER DR, TOMS RIVER, NJ 08753-7917
(732) 966-1694
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
26NJ01255300
NJ
Other
Enumeration date
01/10/2022
Last updated
09/15/2023
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