Individual
JOEL CORDERO GARCESA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APN-C
Contact information
Practice address
530 NEW BRUNSWICK AVE, PERTH AMBOY, NJ 08861-3654
(732) 324-5042
Mailing address
530 NEW BRUNSWICK AVE, PERTH AMBOY, NJ 08861-3654
(732) 324-5042
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
26NR08871000
NJ
363LA2200X
Adult Health Nurse Practitioner
Primary
26NJ00555700
NJ
Other
Enumeration date
05/22/2015
Last updated
05/22/2015
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