Individual
MELISSA TULLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
60 SKYLINE DR, RINGWOOD, NJ 07456-2039
(973) 962-4000
Mailing address
11 BEAN CT, WANAQUE, NJ 07465-1001
(973) 207-8426
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
26NJ00755400
NJ
Other
Enumeration date
10/26/2017
Last updated
10/26/2017
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