Individual
CARMEN CECILIA PERALTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
20 PROSPECT AVE, HACKENSACK, NJ 07601-1997
(201) 996-2442
Mailing address
77 BUENA VISTA DR, RINGWOOD, NJ 07456-2007
(973) 248-0727
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26NJ00961100
NJ
Other
Enumeration date
09/30/2019
Last updated
01/21/2020
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