Individual
MARY L DALESSANDRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
400 CEDAR AVE, WEST LONG BRANCH, NJ 07764-1804
(732) 571-3464
(732) 263-5353
Mailing address
451 MARL RD, COLTS NECK, NJ 07722-1349
(732) 530-0739
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
26NN10428800
NJ
Other
Enumeration date
04/17/2007
Last updated
07/08/2007
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