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Individual

MS. ROSA-FE GAVIGAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
3 COOPER PLAZA, COOPER ANESTHESIA ASSOC., CAMDEN, NJ 08103
(856) 342-2425
(856) 968-8239
Mailing address
3 COOPER PLAZA, SUITE 502, CAMDEN, NJ 08103
(856) 968-7433

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
26NR03665000
NJ
367500000X
Certified Registered Nurse Anesthetist
NR0366500
NJ

Other

Enumeration date
01/02/2007
Last updated
10/09/2008
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