Individual
TARA MARIE PELLEGRINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
23203 COLUMBUS RD STE I, COLUMBUS, NJ 08022
(609) 303-4450
(609) 303-4451
Mailing address
23203 COLUMBUS RD STE I, COLUMBUS, NJ 08022-1985
(609) 303-4450
(609) 303-4451
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25MB09161600
NJ
Other
Enumeration date
06/22/2010
Last updated
12/27/2023
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