Individual
TOLGONAY AGAMEZ-MORALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN-FNP
Contact information
Practice address
148 ENGLE ST STE 1, ENGLEWOOD, NJ 07631-2582
(904) 315-4095
Mailing address
114 SUSSEX ST APT 1D, HACKENSACK, NJ 07601-4148
(904) 315-4095
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
11008743
FL
363LF0000X
Family Nurse Practitioner
Primary
26NJ14851900
NJ
Other
Enumeration date
09/28/2020
Last updated
06/15/2023
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