Individual
HEATHER GANNAIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1 ROBERT WOOD JOHNSON PL, NEW BRUNSWICK, NJ 08901-1928
(732) 828-3000
Mailing address
575 FINCHLEY DR, BRICK, NJ 08723-6874
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
26NJ01008300
NJ
Other
Enumeration date
03/20/2020
Last updated
03/20/2020
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