Individual
ROSANNE VANTUONO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
475 JACK MARTIN BLVD, BRICK, NJ 08724-7732
(732) 458-6600
Mailing address
PO BOX 297, MANASQUAN, NJ 08736-0297
(732) 899-0868
(732) 899-5167
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
25MA05420000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5225604
—
NJ
Enumeration date
07/18/2006
Last updated
07/08/2007
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