Individual
KRISTEN CORDIELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1610 ROUTE 88 STE 203, BRICK, NJ 08724-3018
(732) 840-3339
Mailing address
17 AZEE DR, HAZLET, NJ 07730-2658
(732) 895-0654
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
25MP00440500
NJ
Other
Enumeration date
07/11/2017
Last updated
07/11/2017
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