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Organization

VA HEALTH CARE SYSTEM

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. SHIRLEY LACADEN PEGOLLO APN (NURSE PRACTITIONER)
(973) 539-9791
Entity
Organization

Contact information

Practice address
340 W HANOVER AVE, MORRISTOWN, NJ 07960-2777
(973) 539-9791
Mailing address
9 PONDEROSA TRL, SPARTA, NJ 07871-3229
(973) 539-9791
(973) 539-9242

Taxonomy

Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
26NJ00444200
NJ

Other

Enumeration date
07/16/2013
Last updated
07/16/2013
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