Individual
RUBY BASILIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1 CLARA MAASS DR STE 200, BELLEVILLE, NJ 07109-3550
(973) 751-8880
(973) 751-8950
Mailing address
1 CLARA MAASS DR STE 200, BELLEVILLE, NJ 07109-3550
(973) 751-8880
(973) 751-8950
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26NJ01321200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
26NJ01321200
NP LICENSE
NJ
Enumeration date
07/06/2022
Last updated
07/06/2022
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