Individual
KATELYN CASSIELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1030 CLIFTON AVE, CLIFTON, NJ 07013-3522
(973) 778-3777
Mailing address
1030 CLIFTON AVE, CLIFTON, NJ 07013-3522
(973) 778-3777
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
26NJ00852200
NJ
Other
Enumeration date
09/17/2018
Last updated
07/04/2022
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