Individual
DANIEL MATTHEW SERRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APN
Contact information
Practice address
223 N VAN DIEN AVE, RIDGEWOOD, NJ 07450-2736
(201) 447-8000
Mailing address
535 E RIDGEWOOD AVE APT 8, RIDGEWOOD, NJ 07450-3331
(201) 377-8218
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
26NJ01477800
NJ
Other
Enumeration date
07/17/2023
Last updated
07/17/2023
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