Individual
CONRADO MANALO SAMPEDRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APN
Contact information
Practice address
65 W JIMMIE LEEDS RD, POMONA, NJ 08240-9102
(609) 652-1000
Mailing address
114 SCENIC LN, MAYS LANDING, NJ 08330-4935
(551) 358-3600
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
26NJ14936900
NJ
Other
Enumeration date
12/06/2023
Last updated
12/06/2023
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