Individual
FERNANDO AGUAYO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1140 ROUTE 72 W, MANAHAWKIN, NJ 08050-2412
(609) 597-6011
Mailing address
PO BOX 34672, NEWARK, NJ 07189-0001
(201) 804-2800
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
26NO05459200
NJ
Other
Enumeration date
07/07/2006
Last updated
07/08/2007
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