Individual
MRS. ANGELA THERESA MARINUCCI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1527 FOREST GROVE RD, VINELAND, NJ 08360-1865
(856) 697-7490
(856) 697-7494
Mailing address
414 HANCOCK DR, MULLICA HILL, NJ 08062-1828
(856) 223-0908
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26NJ00057800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0031313
—
NJ
Enumeration date
07/14/2006
Last updated
09/22/2010
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