Individual
NICOLE DORRITY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPRS 03/2019
Contact information
Practice address
1405 RTE 35 STE 201, OCEAN, NJ 07712-3558
(848) 245-7060
Mailing address
1405 RTE 35 STE 201, OCEAN, NJ 07712-3558
(848) 245-7060
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
618
NJ
Other
Enumeration date
09/29/2021
Last updated
09/29/2021
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