Individual
MISS LISA ANN VENTOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
57 FLORENCE DR, FLORHAM PARK, NJ 07932-1542
(973) 970-0480
(973) 295-6509
Mailing address
57 FLORENCE DR, FLORHAM PARK, NJ 07932-1542
(973) 970-0480
(973) 295-6509
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
26NJ00311800
NJ
Other
Enumeration date
02/03/2011
Last updated
02/03/2011
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