Individual
KATHRYN M VACCARO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN MSN MA APN-BC
Contact information
Practice address
1001 US HIGHWAY 202, A150 HEALTH SERVICES, RARITAN, NJ 08869-1424
(908) 218-8070
Mailing address
710 LIVINGSTON RD, ELIZABETH, NJ 07208-1308
(908) 447-3256
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
26NJ00408100
NJ
Other
Enumeration date
01/11/2013
Last updated
01/11/2013
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