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Individual

MISS GRACE MACALALAG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSN, APN-C, CCRN

Contact information

Practice address
239 MORRIS AVE, FLOOR ONE, SUMMIT, NJ 07901-5503
(908) 656-2497
Mailing address
239 MORRIS AVE, FLOOR ONE, SUMMIT, NJ 07901-5503
(908) 656-2497

Taxonomy

Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
26NR10560900
NJ
363LA2100X
Acute Care Nurse Practitioner
Primary
26NJ00718300
NJ

Other

Enumeration date
03/30/2017
Last updated
03/30/2017
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