Individual
MR. NELSON C VIRTUSIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
11 CARLISLE ST, BERGENFIELD, NJ 07621-1603
(201) 888-4750
Mailing address
11 CARLISLE ST, BERGENFIELD, NJ 07621-1603
(201) 888-4750
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
313959-1
NY
Other
Enumeration date
07/18/2013
Last updated
07/18/2013
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