Individual
GRACE GIOVINAZZO-PAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
150 NEW PROVIDENCE RD, MOUNTAINSIDE, NJ 07092-2590
(908) 301-5570
(908) 301-5456
Mailing address
150 NEW PROVIDENCE RD, MOUNTAINSIDE, NJ 07092-2590
(908) 301-5570
(908) 301-5456
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
26NN068644200
NJ
Other
Enumeration date
10/16/2017
Last updated
10/16/2017
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