Individual
MS. CECILIA MARY PALLARIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
150 BERGEN ST, NEWARK, NJ 07103-2496
(973) 331-0672
Mailing address
4 STONEWALL LN, MOUNTAIN LAKES, NJ 07046-1400
(973) 331-0672
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
26NO09530900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
035079
MEDICARE ID
NJ
Enumeration date
02/27/2007
Last updated
05/15/2008
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