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Individual

MICHELLE MARION D'AMATO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APN

Contact information

Practice address
335 PASSAIC ST, PASSAIC, NJ 07055-5818
(973) 358-5500
Mailing address
335 PASSAIC ST, PASSAIC, NJ 07055-5818
(973) 358-5500

Taxonomy

Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
26NJ01117000
NJ

Other

Enumeration date
10/25/2021
Last updated
10/25/2021
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