Individual
BETTYANN DUSEL DIVIRGILIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
101 CARNIE BLVD, VOORHEES, NJ 08043-1548
(856) 325-3831
(856) 325-3750
Mailing address
1020 LAUREL OAK RD, STE 201, VOORHEES, NJ 08043-3518
(856) 782-3300
(856) 504-8029
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
26NN06293600
NJ
Other
Enumeration date
02/16/2007
Last updated
07/08/2007
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