Individual
MS. MARY C SANTORELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
99 BEAUVOIR AVENUE, SUITE 46-48 BEAUVOIR, SUMMIT, NJ 07902-0220
(888) 247-1400
(973) 451-0166
Mailing address
25 LINDSLEY DR, SUITE 100, MORRISTOWN, NJ 07960-4455
(973) 451-0246
(973) 451-0166
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
26NO7537400
NJ
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
Primary
26NC07537400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0130893
NJ FAMILYCARE/MEDICAID
NJ
Enumeration date
12/11/2006
Last updated
06/04/2008
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