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Individual

MRS. JOAN BERNADETTE COLELLA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
APN

Contact information

Practice address
30 PROSPECT AVE, HACKENSACK, NJ 07601-1914
(201) 996-2167
(201) 996-3092
Mailing address
31 MORNINGSIDE PL, WANAQUE, NJ 07465-1514
(973) 835-3403
(973) 835-2967

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
26NN04552600
NJ

Other

Enumeration date
06/02/2008
Last updated
06/02/2008
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