Individual
JAIME JO COSTAGLIOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, APN, CEN
Contact information
Practice address
1 COLLEGE DR STE 103, TOMS RIVER, NJ 08753-2239
(732) 797-9850
Mailing address
1639 WEST PRINCETON AVENUE, BRICK TOWNSHIP, NJ 08724
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
26NJ01028700
NJ
Other
Enumeration date
03/26/2020
Last updated
12/08/2022
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