Individual
KATHLEEN SASSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
132 EVERGREEN RD, EDISON, NJ 08837-2484
(732) 452-4135
(732) 452-4161
Mailing address
132 EVERGREEN RD, EDISON, NJ 08837-2484
(732) 452-4135
(732) 452-4161
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
26NR13732200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7228
—
NJ
Enumeration date
02/03/2022
Last updated
02/03/2022
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