Individual
MR. MARK C CORALLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA CCC-SLP
Contact information
Practice address
9 S MAIN ST, MARLBORO, NJ 07746-1539
(732) 866-8490
Mailing address
32 PARKER ST, EAST BRUNSWICK, NJ 08816-2145
(732) 254-7507
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
41YS00395600
NJ
Other
Enumeration date
01/15/2007
Last updated
07/08/2007
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