Individual
MRS. NICOLE ANN CIULLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
230 N MAPLE AVE, SUITE B-10, MARLTON, NJ 08053-9400
(215) 637-3100
Mailing address
8 LAKEFIELD DR, MARLTON, NJ 08053-5320
(856) 520-5031
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
959622
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
469427
MEDICARE-NJ PTAN
NJ
Enumeration date
12/07/2010
Last updated
03/17/2016
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