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Individual

MRS. MARIA DAWN CUPO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
AG-ACNP-BC

Contact information

Practice address
34 BUTTONWOOD PL, HAZLET, NJ 07730-2109
(347) 596-7114
Mailing address
34 BUTTONWOOD PL, HAZLET, NJ 07730-2109
(347) 596-7114

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
676148
NY
363LA2100X
Acute Care Nurse Practitioner
Primary
432504
NY

Other

Enumeration date
09/29/2022
Last updated
01/11/2023
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