Individual
MS. SULEIMA ROSARIO-DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
152 CENTRAL AVE, CLARK, NJ 07066-1115
(732) 382-9700
Mailing address
410 MYRTLE AVE, GARWOOD, NJ 07027-1214
(201) 792-0453
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
26NJ00505800
NJ
Other
Enumeration date
07/01/2014
Last updated
07/01/2014
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