Individual
PAOLA MASSUDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
92 2ND ST, HACKENSACK, NJ 07601-2191
(551) 996-5900
Mailing address
92 2ND ST, HACKENSACK, NJ 07601-2191
(551) 996-5900
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
26NR14922400
NJ
Other
Enumeration date
10/03/2023
Last updated
10/03/2023
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