Individual
GRACE CAMPOREALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
54 AMES AVE, RUTHERFORD, NJ 07070-1702
(201) 472-3593
Mailing address
34 HIGHLAND RD, MONTVALE, NJ 07645-2022
(718) 744-8239
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
18KT00692000
NJ
Other
Enumeration date
09/26/2014
Last updated
09/26/2014
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