Individual
ROSEANN FUNICELLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN BSN
Contact information
Practice address
2640 HIGHWAY 70 BLDG 12, SUITE 201, MANASQUAN, NJ 08736-2609
(732) 223-3320
(732) 223-3321
Mailing address
2640 HIGHWAY 70 BLDG 12, SUITE 201, MANASQUAN, NJ 08736-2609
(732) 223-3320
(732) 223-3321
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
N079061
NJ
Other
Enumeration date
08/29/2014
Last updated
08/29/2014
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