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Organization

ADVANCED PRACTICE GROUP LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MICHAEL COLABRARO ACNP (SENIOR PARTNER)
(201) 954-5940
Entity
Organization

Contact information

Practice address
224 HAMBURG TPKE, WAYNE, NJ 07470-2111
(973) 636-7200
Mailing address
15 CANTERBURY RD, RINGWOOD, NJ 07456-1903

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
363LC0200X
Critical Care Medicine Nurse Practitioner
Primary
363LP2300X
Primary Care Nurse Practitioner

Other

Enumeration date
07/28/2014
Last updated
07/29/2014
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