Individual
THERESA CARUSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
1420 S BLACK HORSE PIKE, WILLIAMSTOWN, NJ 08094-9130
(856) 875-0100
Mailing address
200 DEPTFORD RD, GLASSBORO, NJ 08028-2409
(609) 970-4476
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
26NJ00710200
NJ
Other
Enumeration date
05/01/2017
Last updated
05/01/2017
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