Individual
DOROTHY IANNACO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
239 HURFFVILLE CROSSKEYS RD STE 160, SEWELL, NJ 08080-4005
(856) 341-8200
(856) 341-8215
Mailing address
2000 CRAWFORD PL STE 200, MOUNT LAUREL, NJ 08054-3954
(856) 355-0340
(856) 355-0330
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26NJ00048000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0055441
—
NJ
Enumeration date
10/17/2005
Last updated
05/28/2025
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