Individual
NICOLETTE VIGNOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
535 SYCAMORE AVE, SHREWSBURY, NJ 07702-4224
(732) 741-0970
Mailing address
535 SYCAMORE AVE, SHREWSBURY, NJ 07702-4224
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
25MP00639400
NJ
Other
Enumeration date
08/16/2021
Last updated
08/16/2021
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