Individual
LAURA E CIAVOLINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APN, BC
Contact information
Practice address
300 2ND AVE, LONG BRANCH, NJ 07740-6303
(732) 923-6569
(732) 923-7724
Mailing address
300 2ND AVE, LONG BRANCH, NJ 07740-6303
(732) 923-6569
(732) 923-7724
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
26NJ00064300
NJ
Other
Enumeration date
02/04/2008
Last updated
09/23/2009
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