Individual
MARGO C PUCCIARELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPA-C
Contact information
Practice address
355 GRAND STREET, JERSEY CITY MEDICAL CENTER, DEPT OF SURGERY- 3 EAST, JERSEY CITY, NJ 07302-4321
(201) 915-2000
Mailing address
8 PRUSAKOWSKI BLVD, PARLIN, NJ 08859-3161
(856) 304-3756
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
25MP00212000
NJ
Other
Enumeration date
01/07/2009
Last updated
01/07/2009
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