Individual
JESSICA MARIE MACCHIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
233 N VAN DIEN AVE, RIDGEWOOD, NJ 07450-2700
(201) 447-8000
Mailing address
199 LAMBERT AVE, NORTHVALE, NJ 07647-1513
(201) 788-2562
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
26NR19875700
NJ
363LC0200X
Critical Care Medicine Nurse Practitioner
Primary
26NJ01448000
NJ
Other
Enumeration date
12/16/2022
Last updated
07/08/2023
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