Individual
LAURA LYNN DEMARIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
180 SOUTH ST, NEW PROVIDENCE, NJ 07974-1991
(908) 673-7505
(908) 464-4159
Mailing address
1 DIAMOND HILL RD, 2ND FLOOR, BERKELEY HEIGHTS, NJ 07922-2104
(908) 771-9824
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
26NN10015900
NJ
Other
Enumeration date
08/21/2011
Last updated
07/05/2019
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