Individual
NICOLE M. MARCANTUONO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1600 ROCKLAND ROAD, WILMINGTON, DE 19803-3607
(302) 651-4200
(302) 651-5612
Mailing address
3600 ROUTE 66, FL 3, NEPTUNE, NJ 07753-2645
(732) 807-0877
(201) 751-1680
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
C7-0003821
DE
208000000X
Pediatrics Physician
MT 191373
PA
208100000X
Physical Medicine & Rehabilitation Physician
Primary
25MA11008300
NJ
2081P0010X
Pediatric Rehabilitation Medicine Physician
C10010140
DE
2081P0010X
Pediatric Rehabilitation Medicine Physician
C7-0003821
DE
Other
Enumeration date
06/07/2007
Last updated
07/19/2021
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