Individual
ROBERTO CARLOS NOVELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
144 71ST ST APT 2, GUTTENBERG, NJ 07093-5186
(407) 936-5450
Mailing address
144 71ST ST APT 2, GUTTENBERG, NJ 07093-5186
(407) 936-5450
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
18KT01300700
NJ
Other
Enumeration date
02/24/2021
Last updated
02/24/2021
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