Individual
MRS. SHIRLEY LACADEN PEGOLLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
9 PONDEROSA TRL, SPARTA, NJ 07871-3229
(973) 768-7300
Mailing address
222 HIGH ST STE 103, NEWTON, NJ 07860-9604
(973) 756-1504
(973) 940-1045
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
26NJ00444200
NJ
Other
Enumeration date
11/13/2013
Last updated
07/07/2023
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