Individual
MR. LOUIS PAUL MASSARELLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APN
Contact information
Practice address
737 HILL ST, LANOKA HARBOR, NJ 08734-1733
(732) 674-6814
Mailing address
737 HILL ST, LANOKA HARBOR, NJ 08734-1733
(732) 674-6814
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26NJ00987700
NJ
Other
Enumeration date
11/23/2019
Last updated
11/23/2019
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