Individual
MRS. KAREN VALERIE BALSAMO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
700 AIRPORT RD, LAKEWOOD, NJ 08701-5907
(732) 367-4700
(732) 364-4190
Mailing address
173 CHERRY QUAY RD, BRICK, NJ 08723-6303
(908) 814-6942
Taxonomy
Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
Primary
26NO06598000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0029807
—
NJ
Enumeration date
08/15/2019
Last updated
08/15/2019
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