Individual
ANDREW T TABUSSI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APN, RN
Contact information
Practice address
63 CAMP DRIVE, SEA GIRT, NJ 08750
(732) 237-4042
Mailing address
1215 5TH AVE, TOMS RIVER, NJ 08757-2614
(732) 237-4042
Taxonomy
Speciality
Code
Description
License number
State
163WX0106X
Occupational Health Registered Nurse
26NR12930100
NJ
363LX0106X
Occupational Health Nurse Practitioner
Primary
26NJ01290500
NJ
Other
Enumeration date
04/12/2022
Last updated
04/12/2022
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