Individual
MICHAEL FACCIOLLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RNFA
Contact information
Practice address
2208 3RD AVE, TOMS RIVER, NJ 08753-6016
(805) 709-3477
Mailing address
2208 3RD AVE, TOMS RIVER, NJ 08753-6016
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
26NR10692900
NJ
Other
Enumeration date
04/14/2009
Last updated
04/14/2009
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