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Individual

MARIA SOCORRO BALLON DE MAIO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN, MSN-FNP

Contact information

Practice address
110 REHILL AVE, SOMERVILLE, NJ 08876-2519
(908) 685-2200
Mailing address
41 MEEHAN AVE, RARITAN, NJ 08869-1704
(908) 229-0057

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
26NR16252100
NJ
363LF0000X
Family Nurse Practitioner
Primary
26NJ00763700
NJ

Other

Enumeration date
07/25/2017
Last updated
08/17/2023
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