Individual
MRS. SOPHIA DEPERGOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, MSN, AGACNP
Contact information
Practice address
1 ROBERT WOOD JOHNSON PL, NEW BRUNSWICK, NJ 08901-1928
(732) 937-3000
Mailing address
1 ROBERT WOOD JOHNSON PL, NEW BRUNSWICK, NJ 08901-1928
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
26NR13740900
NJ
Other
Enumeration date
03/30/2016
Last updated
06/22/2020
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