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Individual

AMY DACILLO-CURSO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NURSE PRACTITIONER

Contact information

Practice address
1 ROBERT WOOD JOHNSON PL, NEW BRUNSWICK, NJ 08901-1928
(732) 828-3000
Mailing address
212 BROAD ST, MATAWAN, NJ 07747-3228
(646) 505-7229

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
26NJ00170400
NJ
363LA2100X
Acute Care Nurse Practitioner
430355
NY

Other

Enumeration date
04/04/2008
Last updated
11/09/2009
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