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Individual

LAURA TESORIERO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1899 ROUTE 88, BRICK, NJ 08724-3124
(732) 840-8177
Mailing address
1899 ROUTE 88, BRICK, NJ 08724-3124
(732) 840-8177

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25MA06115000
NJ

Other

Enumeration date
08/02/2006
Last updated
08/02/2013
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