Individual
GINA MARIE THEOFANIDIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
511 COURTYARD DR BLDG 500, HILLSBOROUGH, NJ 08844-4255
(908) 218-9222
(908) 218-1078
Mailing address
511 COURTYARD DR BLDG 500, HILLSBOROUGH, NJ 08844-4255
(908) 218-9222
(908) 218-1078
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
26NJ00954100
NJ
Other
Enumeration date
08/28/2019
Last updated
08/28/2019
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