Individual
COLLEEN DI LUIGI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
196 GROVE AVENUE, SUITE C, THOROFARE, NJ 08086
(856) 848-7577
(856) 848-6554
Mailing address
1 FEDERAL ST STE SW200, CAMDEN, NJ 08103-1155
(856) 356-4924
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
26NJ00640700
NJ
363LF0000X
Family Nurse Practitioner
Primary
SP016210
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0550558
—
NJ
Enumeration date
08/05/2016
Last updated
12/05/2024
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