Individual
CARLO GINO GUARDASCIONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP-BC
Contact information
Practice address
12-10 BURBANK ST, FAIR LAWN, NJ 07410-2236
(201) 312-1619
Mailing address
12-10 BURBANK ST, FAIR LAWN, NJ 07410-2236
(201) 312-1619
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26NJ15082700
NJ
Other
Enumeration date
06/05/2024
Last updated
06/05/2024
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